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1 <br /> qOGL s nvironrnental Doc 1D F3RECO05 002. <br />' Fevislon Dane 10/11102 Page 1 of 1 <br /> Stockton - Condiflen Upon Receipt (Attaeb to COQ') - <br /> Sample Receipt at STK 0115— <br /> I <br /> 1 Number of ice chests/packages received <br /> Were samples received 3n a chilled condition9 Temps <br /> 2 W p �-- <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 (PRT) if sampled within one hour of zeceipt Client contact for temperature failures <br /> must be documented below If many packages are received atone time check for tests/H T 's/roshes/Bacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of bath] samples received <br />' 3 Do the number of bottles received agree with the COCA cD No N/A <br /> 4 Were samples received mtact9 (i e no broken bottles, leaks etc ) es No <br />' 5 Were sample custody seals Vtact? NIA Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as t les <br />' Sample Receipt Review completed by (initials) <br /> ,Sample Receipt at SP <br /> 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's/rushes/Bacti's to <br /> pitontize further review please notify Microbiology personnel inunedlately of bacti samples <br /> 2 Do the number of bottles received agree with the COC? No NIA <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc } No <br /> 4 Were sample custody seals intact? 69 Yes No <br /> 1 <br /> Sign and date the COC, obtain L1-Nls sample numbers, select methods/tests and gent labels <br />' Sample Verification, Labeling and Distribution <br /> I Wete all requested analyses understood and acceptable No <br /> 2 Did battle labels correspond with the client's DD's? No <br />' 3 Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> 4 Were all analyses within holding times at time of receipt's ae <br /> No <br /> 5 Have rush or protect due dates been checkedV`and accepted? Yes No <br />' Attach labeis to the contaipeis and include a copy of the COC for lab dellvery <br /> Sample Receipt, Login and Veri1,1cat1011 completed by (initials) <br /> (3-14996) <br /> isci zpancl Docurneiitation <br /> 6�-ny iicros oo�/e which are "No or tlo not meet specifications e Ground Zero Analysis <br /> 1 ?ers - conta�. es ono <br /> Cali STK0438868 <br /> IV-12/27/2004-14 14:12 <br />