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Doc IC):F3RECOOSMS <br /> FGL Environnteatal Page:l of I <br /> Revision Date:2113109 <br /> Stockton-Condition Upon Receipt(Att$ch to COC) <br /> Sample Receipt at STK: s received: <br /> 1. Number of ice chestslpackage I I <br /> 2. Were samples received in a chilled condition? Temps:�,_� <br /> Acceptable is above fr>:mft to 6°C. Also sceeptable is received on ice(RVI)for the same day of sarttpling or <br /> T if d within one haus of receipt. Giem Mast for temperawre.faihm <br /> received at room d f ) am��at one��k for to WH T.'slrus mBadi's to <br /> must be doctunemed ew. pi If many packages 1 immediately of ks received- <br /> prioddze further review. Please ramify Murabialogy persomte No NIA <br /> I Do the number of bottles received agree with the COC? Yes o <br /> 4. were samples received intact"(i.e.no broken bottles;leaks etc.) Yes <br /> NVA <br /> 5. VOAs checked for Headspace? Yes No NI <br /> 6. Were sample custody seals intact? <br /> Sign and date the COC.place in a raplock and put in the same ice chest as s <br /> Sample Receipt Review►completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> r Acceptable is above freezing to 6°C. If many packages are received at one time check for <br /> testsfH.T:s/rusheslBacti's to prioritize farther review. Please notify Mie iology persomel <br /> immoedintely of bacti samples received. with the COC? No NIA <br /> 2. Do the number of bottles received agree No <br /> 3. Were samples received intact?(i.e.no broken bottles,leaks etc,) Yes No IA <br /> 4. Were sample custody seals intact? �-� <br /> is. <br /> Sign and date the COC.obtain LZ4S sample numbers,select methods/tests and Tit labe <br /> 4 Sample Verification,Labeling and.Distribution: es No <br /> 1, Were all requested analyses understood and acceptable? <br /> ' Y <br /> 2. Did.bottle labels correspond with the client's ID's? No <br /> I Were all bottles requiring sample preservation properly preserved? Y No NWA FGL <br /> k: <br /> 4. VOAs checked for Headspace? <br /> es No NIA5, Were all analysts within holding titters at time of receipt? Yes No <br /> 6. Have rush or project due dates been checked and accepted? Yrs No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> sample Receipt.Login and Verification completed by(initials): <br /> Discrepancy Documentation: fications(i e.temps)must be resolved. <br /> Any items above which arc"No or do not meet sped phone Number: <br /> 1. Person Contacted` Date:._ <br /> Initiated Sy: - <br /> Problem: (3-1660}8) 5 <br /> Resolution: Live ( UGv Etta iroment 1 <br /> STKI039388 <br /> ,_,,/19/20Ie-12:11:47 <br />