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FGL Environmental Doe ID: F3REC005.004 <br /> Revision Bate: 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 6° C. Also acceptable is received on ice(ROI)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 /> must 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 of bacti samples received.. <br /> 3. Do the number of bottles received agree with the COC? es, No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? N! Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as t e� ples. <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 at one time check for tests/H.T.'s/rushes/Eacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received. <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.) r6s No <br /> 4. Were sample custody seals intact? P Yes No <br /> Sign and date the COC, obtain LM4S sample numbers, select methods/tests and print labels. <br /> Sample Verifications Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? <br /> s No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? 1�s No N/A FGL <br /> 4. VOAs checked for Headspace? LYes No (54 <br /> 5. Were all analyses within holding times at time of receipt? /� s No <br /> 6. Have rush or project due dates been checked and accepted? A Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delivery <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 resolved. <br /> l. Persote Contacted: Phone Number:_______— <br /> hillialed bar: Date: <br /> Problem: <br /> ` ----------- <br /> (3-9574) <br /> Uft <br /> Associates Resolution: i vi ! l��n�?r5�n �' Associates <br /> STK0750689 <br /> IV-11/13/2007-13:31:02 <br />