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FGL Environmental Doc ID: <br /> F3REC005.002 <br />{ Revision Date:01120104 Page: 1 of 1 <br /> Stockton - Condition �7pon Receipt (Attach to COC) <br /> Sample.Receipt at STK: <br /> E 1. Number of ice chests/packages received: k47 <br /> 2. Were samples received in a chilled condition? Temps:�/7 I 1 I I <br /> Acceptable is above freezing to 6°C. Also-acceptable is'reeeived on ice.(ROS for the same day of sampling or <br /> T eceived at room.temperature:(-RRT)if sampled within one hour of receipt. Client contact for temperature failures <br /> rhua be:documented below. If many packages are?received at one time check for tests/H.T.'s/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> 3. Do the number of bottles received agree with-the COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No <br /> 5. Were sample.custody seals intact? t NIA Yes No <br /> Sign and date the COC lace in a zi lock and"put in the same ice chest as t les. <br /> p p P �P <br /> Sample Receipt Review completed by(initials) <br /> Sample Receipt at SP: i <br /> 1. Were samples received in a chilled condition? Temps: 1 I I I <br /> Acceptable is above freezing Io 6°C. If many.packages are:received at oe time check for tests/H.T.'slrushes/Bacti'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? es No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles; leaks etc.) < No <br /> 4. Were sample custody:seals intact? Yes No <br /> 1 � <br /> Sign and date the COC, obtain LINTS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. Were all analyses within holding times at lime of receipt? �s 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 delivery <br /> Sample Receipt,Login and Verification completed by(initials): <br /> Discrepaney Documentation:. <br /> Any items above which a e"No" o do not meCt specifications (i.e.temps)must be esolved. <br /> 1_ Person Contacted: Phone Numb 'J <br /> Initiated By: ! 3k�,�.. °f <br /> Date: .5r 3 D <br /> Problem: (, l .a;-Up ��a�4'/ . 4,r£ e uW-5 <br /> Resolution: (3-2-5419) <br /> , Chesney Consul ting <br /> ST 0734024 <br /> SJ1-05/04/2007-!I:55:58 <br /> 5 <br />