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ti Revision Date: 10/20/00 Page: l of l <br /> Stockton - .Condition Upon Receipt (A.teach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: <br /> 2. Were samples received in ai chilled.condtion? Temps' <br /> Acceptable is above freezing to 6°C. Note as AOI(arrived on ice)if chilling was begun for samples received on <br /> same day of sampling. <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.) es No <br /> 5. Were sample custody seals intact? A" es No <br /> Sign and date the COC,place in a ziplock,and put in the same ice chest ag the samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> I. 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.testslfi.T.'s/rushesBacti''s to <br /> prioritize further review. Please notify Microbiology personnel immediately ofbacti S'. ceived. <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.) Yes No <br /> 4. mere sample custody seals intact? A , es No <br /> Sign and date the COC, obtain LMS sample numbers, select methods/tes print labels. <br /> Sample Verification, Labeling and Distribution; <br /> 1. Were all requested analyses understood and acceptable? 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 N/A FGL <br /> 4. Were all analyses within holding times at time of receipt? NO <br /> Have rush or project duedates been checked and accepted? N/ Yes No <br /> Attach labels to the containers and include a copy of the COC for'lab del' e <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 /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 304056 <br /> :. Peter Lindber 9 <br /> 1 <br /> STK3 <br /> 30114 <br /> lJ� I _sere <br /> Temp: <br />