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Doc 11): 173REC005.005 <br /> FGL Environmental Page: 1 of I <br /> Revision Date: 2113/09 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: j <br /> 1. Number of ice chests/packages received: <br /> 2 Were samples received in a chilled condition? Temps: / for the! day of sampling or <br /> At <br /> ! /— <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI) same <br /> received at room temperature(RRT)if sampled within one hour of rcccipt. Client contact for temperature failures <br /> must be documented below. If many packages are received at one time check for testslH.T.'sirushes.:Bacti's to <br /> prioritize further review- Please notify MicrobioW+y personnel immediately of bac les received.- <br /> prioritize <br /> Do the number of bottles received agree with the COC? ;Syes <br /> No N/A <br /> q, Were samples received intact?(i.e.no broken bottles. leaks etc.) No <br /> 5. VOAs checked for I leadspace? Yes No <br /> 6. Were sample custody seals intact? <br /> Sign and date the COC.place in a ziplock and put in the same ice chest as the sa t les. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: oja J <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 time check for <br /> tests/II.C.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately barsamples received. No N/A <br /> ?. Do the numberer of bon ttles received agree with the COC? <br /> 3. Were samples received intact?(i.e.no broken bottles,leaks etc.) No <br /> 3. Were sample custody seals intact? es No N!A <br /> Sign and date the COC. obtain LIMS sample numbers,select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? es No <br /> 2. Did bottle labels correspond with the clients IDs? No <br /> 3. Were all bottles requiring sample preservation properly preserved'? No N/A FGI_ <br /> 4. VOAs checked for t leadspace? Y No N/A <br /> 5. Were all analyses within holding times at time of receipt'? s No <br /> 6. Have rush or project due dates been checked and accepted? Yes No N//A <br /> Attach labels to the containers and include a copy of the COC for lab deli4' <br /> Sample Receipt,Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which are'No'or do not meet specifications t.Le.temps)nuts(be resolved. <br /> I. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> (3-16603) <br /> Resolution: - Live Oak Geo Environmental <br /> STK1251245 <br /> NtB-12/m6/2012-12:40:55 <br />