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FGL Environmental <br /> Revision Date: 10/23/07 Doc ID: F3REC005.004 <br /> Page: 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> L 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? <br /> es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) e No <br /> 5. Were sample custody seals intact? <br /> &e�aplqs. <br /> es No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as <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.'slrushes/acti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples re eiv d. <br /> 2. Do the number of bottles received agree with the COC? <br /> No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> I <br /> 4. Were sample custody seals intact? <br /> N/A Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> L Were all requested analyses understood and acceptable? <br /> No <br /> 2. Did bottle labels correspond with the client's ID's? <br /> No <br /> 3. Were all bottles requiring sample preservation properly preservedgYe NoN/A FGL <br /> 4. VOAs checked for Headspace? - <br /> Yes No /A <br /> 5. Were all analyses within holding times at time of receipt? es No <br /> 6. Have rush or project due dates been checked and accepted? /A <br /> No <br /> Attach labels to the containers and include a copy of the COC for lab delive <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: <br /> Phone Number: <br /> Initiated By: �, Date: 2 -Al-o8 <br /> Problem: - <br /> Resolution: <br />