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E FGL Environmental Doc ID: F3R1 C005.005 Revision Date: 2/13/09 y Page: 1 of 1 ? Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STK: I. Number of ice chests/packages received: f 2. Were samples received in a chilled condition? Temps: Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI) for the same day of sampling or received at room temperature(RRT)if sampled within one hour of receipt. Client contact for temperature failures E must be documented below. If many packages are received at one time check for tests/H.T.'s/rushesBacti's to prioritize further review. Please notify Microbiology personnel immediately of ba 'Ties received.. 3. Do the number of bottles received agree with the COC? e No N/A 4. Were samples received intact? (i.e. no broken bottles. leaks etc.) No 5. VOAs checked for Headspace? o / 6. Were sample custody seals intact? Yes NIA Sign and date the COC. place in a ziplock and put in the same ice chest as e i les. Sample Receipt Review completed by(initials): ' Sample Receipt at SP: I. Were samples received in a chilled condition? Temps: Acceptable is above freezing to 6° C. If many packages are received.at one time check for tests/H.T.'s/rushes/13acti's to prioritize further review. Please notify Microbiology personnel immediately of bacti samples received. 2 Do the number of bottles received agree with the COC? No N/A l 3. Were samples received intact?(i.e. no broken bottles, teaks etc.) No 4. Were sample custody seals intact? e No N/A Sign and date the COC, obtain LNS sample numbers, select methods/tests and print la els. Sample Verification, Labeling and Distribution: I, Were all requested analyses understood and acceptable? Yes No 2. Did bottle labels correspond with the client's M's? No i 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL 4VOAs checked for Headspace? Y No N/A 5. Were all analyses within holding tithes at time of receipt? No � I 6. Have rush or project due dates been checked and accepted? Yes No Attach labels to the Cobtairiers and include a copy of the COC for lab delivery, i Sample Receipt, Login and Verification completed by(initials): Discrepancy Documentation: Any items above which are"No"or do not meet specifications(i.e. temps)must be resolved. 1. Person Contacted: Phone Number: Initiated Sy- Hate: Problem: (3-1.6608) Resolution: (3-16608) Oak Geo EnviroMentai 8TKI034406 IV-05/07/2010-12:45:47