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r. F.CL Environmental Doc 1D: <br /> F3RLC00s.002 . <br /> Revision Date: 6112W04 Page: 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> L Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps; <br /> V 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(1LRT)if sampled within one hour of receipt. Client contact for temperature failures <br /> Must be documented below. If many packages arc received at one time check for tcsts/1 hT.'s/rushrs/$acti's to <br /> Prioritize further review_ Please notify Microbiology personnel immediately of bacci samples received.. <br /> r <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.) s No <br /> r <br /> 5. Were sample custody seals intact? ! Yes o <br /> Sign anm <br /> d date the COC,place in a ziplock and put in the sae ice chest as ple <br /> Sample Reucipt Review completed by(initials); <br /> Sample Receipt at SP* r:51 <br /> � <br /> 1. Were samples received in a chilled condition? Temps: tC� <br /> ... Acceptable is above freezing to 6°C. if many pack;tges are received atone time check for to <br /> tests/H,'r.'s/mshes/l3acti's <br /> prioritize fardtcr review. Please notify Miuobiology petsonncl immediately of bacti samples received. <br /> ` 2. Do the number of bottles received agree with the COC? o N/A <br /> 3. Were samples received intact?(i.e. no broken bottles, leaks etc.) p f <br /> 4. Were sample custody seals intact? C=�htes No <br /> Sign and date the COC,obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: i <br /> 1. Were all requested analyses understood and acceptable? nip r <br /> 2. Did bottle.labels correspond with the client's ID's? V— N <br /> ��. o <br /> 3. Were all bottles requiring sample preservation properly preserved'! Yes No <br /> Q . FGL <br /> 4. Were all analyses within holding times at time of receipt? <br /> No <br /> i` 5. Have rush or project due dates been checked and accepted? C�`es No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> Sampld Receipt,Login and V,.erificatioti completed by(initials): <br /> Discrepancy Documentation: : <br /> 6 Any items above which are"No".br do not meet specifications (i.e, temps) must be resolved. <br /> J. Person Contacted: Phone Number- <br /> Initiated-By: <br /> 6. Problem: (3-':.3102) <br /> Precision. Enviro-Tech <br /> LResolution STK053$5.5 <br /> IV-11/03/22005-09:49;26 <br />