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_11/19/02 TI1E 0928 FAX 805 4172 FGL ENVIRONMENTL Z008 FGL Environmental Doc ID: F3REC005.001 Revision Date: 10/20/00 ( Page: 1 of 1 Stockton - Condition Upon Receipt (Attach to COC) Sample Receipt at STK: 1. Number of ice chests/packages received: 2. Were samples received in a chilled condition? Temps: Acceptable is above freezing to 6°C. Note as AOI(arrived on ice)if chilling was begun for samples received on same day of sampling. 3. Do the number of bottles received agree with the COC? Yes No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No 5. Were sample custody seals intact? N/A Yes No Sign 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: 1. Were samples received in a chilled condition? Temps: Acceptable is above freezing to 6°C. If many packages are received ar one time check for tests/H.T.'s/rusht:Bacti's to prioritize further reviewplease notify Microbiology personnel immediately of bacti samples received. 2. Do the number of bottles received agree with the COC? mssNo N/A 3. Were samples received intact? (i.e.no broken bottles, leaks etc.) No 4. Were sample custody seals intact? �t�y% Yes No Sign and date the COC,obtain LINIS sample numbers, select methods/tests and print labels. Sample Verification, Labeling and Distribution: I. Were all requested analyses understood and acceptable? No 2. Did bottle labels correspond with the client's ID's? No 3. Were all bottles requiring sample preservation properly preserved? Yes No � FGL 4. Were all analyses within holding times at time of receipt? Yes, No 5. Have rush or project due dates been checked and accepted? Yes No Attach labels to the containers and include a copy of the COC for lab delivery. Sample Receipt,Login and Verification completed by(initials): f�n_ Discrepancy Documentation: Any items above which are`No"or do not meet specifications (i.e_ temps)must be,resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: 3014822 Ehlers Elevators STK2356®4 Temp: roll I I I I I I .