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-,r <br /> FGL Environmental �ft.. Doc ID:F3REC005.004 <br /> Revision Date: 10/23/07 Page: 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> I. Number of ice chests/packages received: <br /> 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 60 C. Also acceptable is received on ice(ROI)for die same day ofsampling 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 tasts/H.T.'s/tvshesMacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> 3. Do the number of bottles received agree with the COC? its <br /> No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? Yes No <br /> Sign and date the COC,place in a ziplock and put in the same ice the t ies. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: / <br /> Acceptable is above freezing to 6°C. Ifmany packages are received atone time check for testsM.T.'ynishes/Bacti's io <br /> Prioritize further review. Please notify Microbiology personnel immediately of bacti sampl Wed. <br /> 2. Do the number of bottles received agree with the COC? No N/A <br /> 3. Were samples received intact?(i.e. no broken bottles, leaks etc.) Y No <br /> 4- Were sample custody seals intact? N/ Yes No <br /> Sign and date the COC, obtain LRdS 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 client's ID's? Yes No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No S) <br /> N/A GL <br /> 4. VOAs checked for Headspace? tesNo <br /> N/A <br /> 5. Were all analyses within]folding times at time of receipt?6. Have rushar project due dates been checked and accepted? No <br /> Attach labels to the containers and include a copy of the COC for lab de <br /> Sample Receipt, Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which are"No"or do not meet specifications(i.e. temps) must be-m�, . <br /> 1. Person Contacted: - <br /> Initiated By: 13-9574) <br /> Problem: Neil Anderson & Associates <br /> Resolution: S Tjr 0 8 5 1 0 9 9 <br /> SU-11/04/2008-13:50:32 <br /> e <br />