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FGL Environmental Doc ID: F3REC005.004 <br /> Revision Date: 10/23/07 Page: 1 of I <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(5I) 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 /> mast be documented below. if many packages are received at one time check for tests/H.T.'s/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately ofbacti mples received.. <br /> 3. Do the number of bottles received agree with the COC? Yes No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Y No <br /> 5. Were sample custody seals intact? N/A es No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as t>je m S. <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. If many packages are received atone time check for tesis/H.T.'s/rushes/Bacti's to <br /> prioritize further review. Please notify Microbialogypersonnel immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? es No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles,leaks etc.) a No <br /> 4. Were sample custody seals intact? Yes No <br /> Sign and date the COC,obtain LINOS 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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> 4. VOAs checked for Headspace? No N/A <br /> _ 5. Were all analyses within holding times at time of receipt? No <br /> 6. Have tush or project due dates been checked and accepted? Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> p� <br /> Sample Receipt, Login and Verification completed by(initials): C/ <br /> Discrepancy Documentation: <br /> Any items above which are"No" or do not meet specifications(i.e. temps) must be resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date:_ <br /> Problem: (3-9574) <br /> Resolution: Nei! Anderson & Associates <br /> STKO834912 <br /> IV-05/15/2008-1-2:43:30 <br />