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j FGL Environmental Doc ID:F3REC005.005 <br /> Revision Date:V13109 Page. I of 1 <br /> Stockton - Condition Upon Receipt(Attach to COC) <br /> Sample Receipt at STK: <br /> I. Number of ice chests/packages received: <br /> 2. Were samples received in u chilled condition? Temps: I 1 1 1 <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)for the carne day of sampling or <br /> received at room temperature(RRT)if sampled within one hour of receipt. Client contact for temperature failures <br /> must be documented below. If many packages are received at one time check for tests/H.T.'shushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of ba les received.. <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) No <br /> 5. VOAs checked for Headspace'? Yes No bM <br /> 6. Were sample custody seals intact? Ye No NIA <br />' Sign and date the COC.place in a ziplock and put in the same ice chest as the s <br /> Sample Receipt Review completed by(initials): <br /> t Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: 1 1 1 1 <br /> Acceptable is above freezing to 6°C. if many packageAarc ceivcd at one time check for <br /> tests/H.T.WrusltmGacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? (4ei3 <br /> No NIA <br /> 3. Were samples received intact?(i.e.no broken bottles,leaks etc.) No <br /> 4. Were sample custody seals intact? Yes N <br /> Sign anddate the COC.obtain LIMS sample numbers,select nxthods/tests and print la s. <br /> Sample Verification,Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? es No <br /> 1D <br /> 2. Did bottle labels correspond with the client's 's? es No <br /> 3. Were at bottles requiring sample preservation properly preserved? No NIA FGL <br /> 4. VOAs checked for Headapace? cs No NIA <br /> 5. Were all analyses within holding times at time of receipt? Yes No <br /> k <br /> 6. Have rush or project due dates been checked and accepted? Yes o N/IA <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> i Sample Receipt,Login and Verification completed by(initials): <br /> i <br /> Discrepancy Documentation: <br /> Any items above which arc"No"or do not meet specifications(i.c.temps)must be resolved. <br /> 1. Person Contacted: Phone Number. <br /> initiated By: Date: <br /> Problem: <br /> Resolution: (3-16608) <br /> Live Oak Geo Envfromental <br /> STK0939912 <br /> SRP-10/22/2009-11:36:54 <br />