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FGL Environmental floc ID: F3RECOO5.045 Revision Date: 2113109 Page: 1 of 1 Stockton - Condition Upon Receipt (Attach to COQ Sample Receipt at STK: l I. Number of ice cliests/packages received: ?. 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 must be documented below. If many packages are received at one time check for tests fl.T.'s/tushes/Bacti's to prioritize further re%•iew. Please 1101hy Microbiology personnel inunediately orbFC5 pies received.. 3. Do the number of bottles received agree with the COC? No NIA 4. Were samples received intact?(i.e. no broken bortles. leaks etc.) No 5. VOAs checked for 14eadspace'? No 6. Were sample custody seals intact? Yes No Sigh and date the COC. place in a ziplock and put in the same ice chest as the samples. 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 LT.'s/rushesBacti's to prioritize further review. Please notify Microbiology personnel immediately of bacti samples received. 2. Do the number of bottles received agree with the CQC? No N/A 3. Were samples received intact?(i.e.no broken bottles,leaks etc.) Ye No 4. Were sample custody seals intact? es Na ONIA Sign and date the COC.obtain LIMS sample numbers,select methods/testsand ' labels. Sample Verification, Labeling and Distribution: I. Were all requested analyses understood and acceptable? No 2. Did bottle labels correspond with the client's 113's? No 3. Were all bottles requiring sample preservation properly preserved? OYC No N/A FGL 4. VOAs checked for Headspace? Yes No N/A 5. Were all analyses within holding times at time of receipt'? Yes No 6. Have rush or project due dates been checked and accepted? Yes 11 Attach labels to the containers and include a copy of the COC for lab deiive Sample Receipt,Login and Verification completed by(initials): Discrepancy Documentation: Any items above which are"No"or do not meet specifications(ix,temps)must be resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: (3-16608) Live Oak Geo Environmental STK1135072 SRP-06/14/2011-12:41:01