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E <br /> Doc ID: ' <br /> FGL Environmental <br /> F3REC005.002 Page: 1 of 1 <br /> Revision Date: 01/20/04 <br /> Stockton - Condition Upon Receipt (Attach to COC) 1 <br /> Sample Receipt at STK: <br /> k <br /> 1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: <br />` a Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)for the same day of sampling or <br /> received at room temperature(RRT)if sampled within one hour of receipt. Client contact for temperatw e failures <br /> must be documented below. If many packages are received at one time check for tests/H.T.'s/rushesBacti's to <br /> r- prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> 3. Do the number of bottles received agree with the COC? <br /> SN' <br /> NIA <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) o5. Were sample custody seals intact? es No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as the sa s. <br /> Sample Receipt Review completed by(initials): <br /> r Sample Receipt at SP: <br /> x 1. Were samples received in a chilled condition? Temps: I I I I <br /> Acceptable is above freezing to 6°C. If many packages are received at e time check for tests/H.T.'s/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? No NIA <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) �eq No <br /> r 4. Were sample custody seals intact? (t� Yes No <br /> P. Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? �s No <br /> 4 <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> F' <br /> 3. Were all bottles requiring sample preservation properly preserved? d�s No NIA FGL <br /> 4. Were all analyses within holding times at time of receipt? No <br /> F5. Have rush or project due dates been checked and accepted? Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> 4 <br /> F. Sample Receipt,Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> l Any items above which are"No" or do not meet specifications (i.e. temps) must be resolved. <br /> 1. Person Contacted: <br /> Phone Number: <br /> Initiated By: (3-9574) <br /> Problem: Nei l Anderson & ASSOd a tes <br /> F� Resolution: 5 TK 0 7 3 4 9 5 9 <br /> SJT-06/07/2007- 2:46:22 <br />