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FGL Environmental Doc ID F3REC005 002 <br /> Revision Date 01/20/04 Page 1 of 1 <br /> • Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1 Number of ice chests/packages received <br /> 2 Were samples received in a chilled condition? Temps <br /> Acceptable is above freezmg 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/rnshes/Bacti's to <br /> prioritize further review Please notify Microbiology personnel unmediately of backres�, <br /> amples received <br /> 3 Do the number of bottles received agree with the COC' No N/A <br /> 4 Were samples received intact? (i a no broken bottles, leaks etc ) es No <br /> 5 Were sample custody seals intact? /A Y-es No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as the samples <br /> Sample Receipt Review completed by(initials) j <br /> Sample Receipt at SP: <br /> 1 Were samples received in a chilled condition's Temps <br /> Acceptable is above freezing to 6° C 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 bactifA <br /> 2 Do the number of bottles received agree with the COC? No N/A <br /> • 3 Were samples received intact? (i e no broken bottles, leaks etcNo <br /> 4 Were sample custody seals intact Yes No <br /> Sign and date the COC, obtain LEAS sample numbers, select methods/tests and print labels <br /> Sample Verification, Labeling and Distribution: - <br /> 1 Were all requested analyses understood and acceptable? es No <br /> 2 Did bottle labels correspond with the client's ID'sl es No <br /> 3 Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> 4 Were all analyses within holding times at time of receipt? No <br /> 5 Have rush or project due dates been checked and accepted Yes No <br /> Attach labels to the containers and include a copy of the COC for lab deli , <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 a temps) must be resolved <br /> 1 Person Contacted Phone Number <br /> Initiated By Date <br /> • Problem <br /> Resolution (3-14996) <br /> Ground Zero Ana I ys i s <br /> STK@431884 <br /> SRP-03/19/2004-12.14 55 <br />