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I <br /> 4GL Environmental Doc ID F3REC04S 002 <br /> 12evlsion Date 10/11/02 Page ] of 3 <br /> 1 <br /> Stockton - CondItIOD Upon Receipt (Attach to COQ} - <br /> I <br /> Sample Receipt at STK ~ <br /> ] Number of ice chests/packages received <br /> 2 We les recelved in a chilled condition? Temps <br /> Were samples <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 withm one hour of receipt Client contact for temperature failures <br /> must be documented below If many packages are received ne time check for imrriediately of bachtsamples/received aeti's to <br /> prioritize further review Please notify Microbiology prsonnei <br /> 3 Do the number of bottles received agree with the COC9 No N/A <br /> 4 Were samples received intact? (i e no broken bottles, leaks etc ) No <br /> 5 Were sample custody seals Jf tacO Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as t e samples <br /> Sample Receipt Review completed by (initials) <br /> ample Receipt at SP <br /> Were samples received in a chilled conditiorx7 Temps <br /> Acceptable is above freezing to 6' C If many packages are received at one time check for tests/H T simshesl$acti s to <br /> poritize 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 /> I <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc ) Yes No <br /> 4 Were sample custody seais intact? d-15> Yes No <br /> I <br /> Sign and date the COC, obtain LIIv1S sample numbers, select methods/tests and print labels <br /> ISample Verification, Labeling and Distribution <br /> 1 Were all requested analyses understood and acceptable? N° <br /> 2 Did bottle labels correspond with the client's ID's? s No <br /> 3 Were- all bottles requiring sample preservation properly preserved? Yes No N/ FGL <br /> I4 Were all analyses within holding times at time of receipt? es No <br /> � �i e5 No <br /> 5 Have rush or project due dates been checked and accepted? <br /> IAttach labels to the contain ens and include a copy of the COC for lab delivery ; <br /> Sample Recetpt, Login and Verification completed by (initials) {3_14996} <br /> 6 Disci epaacy E)oLurnn.w:itiop Ground Zero AnalYS1S <br /> A--ny I[,--ms -above which ase "No or uo nor meet spec STK 38 87 `� <br /> Il refsrn Conta,_,ed � — 1 <br /> SV-12/27/2004-14.23 17 <br /> 0!,-ir <br />