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s I~GL Environmental Doe III. F3RECOO5.004 Revision Hate: 10123107 Page: I of 1 Stockton - Condition Upon Receipt (.attach to COQ) Sample Receipt at STK: 1. Number of ice chests/packages received: 2. Were samples received in a chilled condition? Temps: I ! 1 1 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/H.T.'s/rushesBacti's to prioritize further review. Please notify Microbiology personnel immediately ofbacti samples received.. 3. Do the number of bottles received agree with the COC? kN N/A 4, Were samples received intact? (i,e. no broken bottles, leaks etc.) 5. Were sample custody seals intact? No Sign and date the COC, place in a ziplock and put in the same ice chest a Sample Receipt Review completed by(initials): Sampie Receipt at SP: 1. Were samples received in a chilled condition? Temps; Acceptable is above freezing to 6°C. If many packages are received atone time check for testsfH.T.`s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel immediately of bacli samples received. 2, Do the number of bottles received agree with the COC? 'No N/A 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) Y No a 4. Were sample custody seals intact? / Yes No Sign and date the COC, obtain LIMB sample numbers, select methods/tests and print labels. Sample Verification, Labeling and'Distribution: 1. Were all requested analyses understood and acceptable? Yes No 2. Did bottle labels correspond with the client's ID's? Yes ' No 3, Were all bottles requiring sample preservation properly preserved? Yes No N!A GL 4. VOAs checked for Headspace? VSN /A 5. Were all analyses within holding times at time of receipt?6. Have rush or project due dates been checked and accepted? s No Attach labels to the containers and include a copy of the COC for lab d Sample Receipt, Login and Verification completed by(initials): Discrepancy Documentation: Arty items above whicll are "No"or do not meet specifications (i.e. temps) must be resolved, 1, Person Contacted: _______ _ Phone Number: Initiated By: 17ate: Problem: Resolution: r Attach label with lab number boreI/