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1 <br /> Doc 1D F3RECOOS Oo2 <br /> 6GL .Enyironmentnl page I of 1 <br />' lZevision Date 10/11/02 <br /> Stockton - CondltIOD Upon Receipt (Attach to COQ) - <br />' le Receipt STK J <br /> same p �t►�1 <br /> 1 Number of ice chests/packages received <br />' <br /> 2 P <br /> Were samples received in a chilled condition9 Temps <br /> A / I / <br /> cceptable is above freezing to 6° C Also acceptable is received on ice (RDI) for the same day of sampling or <br />' received at room temperature (RRT) if sampled within one hour of receipt Client contact for temperatiue failures <br /> must be documented below If many packages are received at one tune check for tests/H T 'shushesBacti's to <br /> prioritize further review please notify Microbiology personnel unrriediately of bacti samples received <br />' 3 Do the number of bottles received agree with the COC? <br /> ( No NIA <br /> 4 Were samples received intact9 (l e no broken bottles, leaks etc ) e� No <br />' 5 Were sample custody seals ifitacV <br /> IST � Yes No <br /> sign and date the COC, place in a ziplock and put in the same ice chest as t r s <br /> iSample Receipt Review completed by (initials) <br /> Sample Receipt at SP y / <br /> tions Temps <br /> Were samples received in a chilled condi <br /> Acceptable is above freezing to 6' C if many packages are received at one time check for tests/H T sJrushes/Bacti s to <br /> pr1ont12e further review Please notify Microbiology personnel immediately of bacti samples received <br /> 2 Do the number of bottles received agree with the COC? No NIA <br />' <br /> 3 Were samples received intact' (i e no broken bottles, leaks etc ) e No <br /> P <br /> Yes No <br /> 4 Were sample custody sails intact <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and pent labels <br /> Sample Verification, Labeling and Distribution <br /> 1 Weir all requested anaLyses understood and acceptable? No <br /> 2 Did bottle labels correspond with the client's DD's e <br /> Na <br />' 3 Were all bottles requiring sample preservation properly preserved? Yes No t/ FGL <br />' 4 Were all analyses wlthln holding bines at time of receipt? s No <br /> or ro ect due dates beeri checked and accepted? / Yes hlo <br /> 5 Have rush p 1 <br /> Attach labels to the containers and Include a copy of the COC for lab delivery ; <br /> Sample P eceipt, Login and Vefifiration completed by (ir}itiaL) <br /> Disc epa,-acy Docurnentattoe (3-14996) <br /> A Tums =,bo)fc whlcn are "iia or Lo not meet speclficatl��iis (� Ground Zero Ana'YSls <br /> rh <br /> 1 t'etsa0 Conta ,Fd — ria STKU438875 <br /> —� IV-12/27/2004-14.24:16 <br />