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i <br /> 16 <br /> FGL Environmental Doe ID: F3REC005.001 <br /> Revision Date: 10/N/00 Page: 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> i <br /> 6 Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: <br /> L 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6' C. Note as ADT(arrived on ice)if chilling was begun for samples received on <br /> same day of sampling. Samples may be received without.cooling if sampled within one hour of receipt. <br /> 3. Do the number of bottles received agree with the COC? es D No N/A <br /> L4. Were samples received intact? (i.e. no broken bottles,leaks etc.) No <br /> 5. Were sample custody seals intact? N/ Yes No <br /> LSign and date the COC,place in a ziplock and put in the same ice chest as th les. <br /> Sample Receipt Review completed by(initials): <br /> L Sample Receipt at SP: <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 tests/H.T.'s/rushesBacti's to <br /> [ prioritize further review. Please notify,Microbiologypersonnel immediately of bacti samples received. <br /> L 2. Do the number of bottles received agree with the COC? I/A <br /> No N/A <br /> L 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 LIN4S 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 f <br /> i <br /> L 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No -<E/) FGL <br /> L4. Were all analyses within holding times at time of receipt? e No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> LAttach labels to the containers and include a copy of the COC for lab delivery. <br /> Sample Receipt, Login and Verification completed by(initials): <br /> Discrepancy Documentation: f <br /> Any items above•which:are"No" or do not meet specifications (i.e. temps) <br /> 1. Person Contacted: (3_13102) <br /> Initiated By: <br /> Problem: �IeC151011 � <br /> Resolution STK05399 49 <br /> IJ_12/22/2005 09:02:34 <br /> L <br />