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6GL En,/iranmentaf Doc ID F3RECOOS 002 <br /> Page 1 of 1 <br /> IRevision Date 101]1102 <br /> Stockton - Condition Upon Receipt (Attach to COC) - <br /> Sample Receipt at STK <br /> Samp P <br /> 1 plumber of Ice chests/packages received <br /> Were samples received in a chilled condition? Temps <br /> 2 p —� <br /> Acceptable is above freezing to 6° C Also acceptable is received on Ice (ROI) for the same day of sampling or <br /> I received at room temperature (RRT) if sarripda e rlece ved at oneone hour ftreceipt <br /> ime check Client <br /> foz tests/H T for <br /> Satoures <br /> must be documented below If many packages <br /> prioritize further review Please notify Microbiology personnel im riediately of bacti samples received <br />' 3 Do the number of bottles received agree with the COC? e� No NIA <br /> 4 Were samples received intact (i e no broken bottles, leaks etc ) Y No <br /> 5 Were sample custody seals 3itact? No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as s Ales <br />' Sample Receipt Review completed by (initials) <br /> Sample Receipt at SP / <br /> Were samples received in a chilled condition" Temps <br /> P Act-eptable is abovem <br /> freezing to 6° C if any packages are received at oire time check for tests/H T s/rushes/$acti s to <br /> piLori tizc further review Please notify Microbiology personnel immediately of bacti samples received <br /> 2 Do the number of bottles received agree with the COC? es No NIA <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc ) Ye No <br />' 4 Were sample custody seat l$ intact? <br /> Yes No <br /> Sign and date the COC, obtain LIlv15 sample numbers, select methods/tests and <br /> opent labels <br />' Sample Verification, Labehug aiid Distribution <br /> 1 Were all requested analyses understood and acceptable? 4e No <br /> 2 Did bottle labels correspond with the client's M's� � No <br /> 3 Were all bottles requiring sample preservation properly preserved? Yes No e9 FGL <br /> 4 Were all analyses within holding times at time of receipt? No <br /> 5 Have rush or prosect due dates been checked and accepted' <br /> Yes No <br /> 1 Attach latels to the containers and include a copy of the COC for lab dellvery ; <br /> Sapiple Peceipt, Login and Vcr,Ecatiorl completed by (initials) <br /> Disci epaucy Docllrnerit�1110P (3-14996) <br /> V items above which are "�10 or CID noT meet specificat Ground Zero Analysis <br /> l �� ti n Coiita.,e� STK0438873 <br /> L�it��tFdl; � <br /> TV-12/27/2004-14 21.02 <br /> r;,,_tzln <br />