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f <br /> FGL Environmental Doc ID:X31lEC405.005 <br /> Revision Date: 2/13/09 gage: 1 of 1 <br /> Stockton -Condition Upon Receipt (Attach to COC} <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(R 1)for the same day of sampling or <br /> received at room temperature(RRT)if sampled within one hour of receipt_ Client contact for temperature failures <br /> must be documented below. if many packages are received at one time check for tests/H.T.'strushes/Bacti's to <br /> prioritize further review. Please notify Microbiology personnel inunediately oFbp*=wles received.. <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) es ' o <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> r <br /> Sign and date the COC. place in a ziplock and put in the same ice chest as the sa les. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> I. Were samples received in a chilled condition? Temps: <br /> 'Acceptable is above freezing to 6°C. If many packages are received at one rime,clieck for <br /> tests/H.T.'s/rushesBacti's.to prioritize.further myiq lease_notify,iyf icrobiology;perso inel .. . .. .. _._.. <br /> immediately of bacti samples received; <br /> 2. <br /> Do the number of bottles received.agrge with the COC?: €, 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 /> Sign and date the COC. obtain LWS sample numbers, select methods/tests.and print labels. <br /> Sample Verification, Labeling and Distribution:. <br /> l. Were all requested analyses understood and acceptable? es No <br /> 2. Did bottle labels correspond._with the clients IUs? t . No I <br /> 3. Were all bottles requiring.satxiple:preservation=properly preserved? No N/A. FGL <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Were all analyses within holding times at time of receipt? es No <br /> G. Have rush or project due dates been checked and accepted? Yes N /A <br /> y <br /> Attach aabels to the containers and include a copy of the COC for lab delivery. l <br /> Sample Receipt,Login and Verification completed by-(inttials): <br /> Discrepancy Documentation: <br /> Any items above which are"No"or do not meet specifications(i.e.temps)niust'be resolved. <br /> 1. Person Contacted: Phone Number: <br /> initiated By: Date- <br /> Problem: <br /> Resolution: <br /> (3-16608) <br /> Live Oak Gw­ Environmental � <br /> STK1036 <br /> ?1 0 <br /> SRI'-07/28/2010-12:59:51 <br />