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S J <br /> FGL Environmental Doc ID: F3REC005.001 <br /> Revision Date: 10/20/00 Page: 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: llff <br /> 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6'C. Note as AOI(arrived on ice) if c7hifingwas begun for samples received on <br /> same day of sampling. Samples may be received without cooling.if sampled within one hour of receipt. <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.) es No <br /> 5. Were sample custody seals intact? / Yes No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as the samples. <br /> Sample Receipt Review completed by(initials): ei <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: / <br /> Acceptable is above freezing to 6°C. If many packages are received at one ume check for tests/H.T.'shushes/Bacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples r <br /> 2. Do the number of bottles received agree with the COC? Yes o N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) es o <br /> 4. Were sample custody seals intact? /A Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/te print labels. <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? X es o <br /> 2. Did bottle labels correspond with the client's ID's? 4zlrm/ <br /> No <br /> 3. Were all bottles requiring sample preservation properly preservNo N/A FGL <br /> 4. Were all analyses within holding times at time of receipt? No <br /> 5. 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 deTiwc�r, <br /> Sample Receipt, Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which are "No" or do not meet specifications (i.e. temps)must be resolved. <br /> L Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> (3-14883) <br /> Lodi Grading & Paving Inc. <br /> STK0332453 <br /> LMC-05/01/2003:07:49 PM <br />