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IFGL Environmental Doe ID. F3REC005.002 <br /> Revasaon Date 10/21/02 Page 1 o€1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: Q <br /> 1 Number of ice chests/packages received <br /> I2 Were samples received in a chilled condition? Temps I I I I <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 within one hour of receipt Client contact for temperature failures <br /> must be documented below If many packages are received at one tune check for tests/H T 's/rusheslBacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of bacti samples received <br /> 3 Do the number of bottles received agree with the COC9 No N/A <br />' 4 Were samples received intact9 (i a no broken bottles, leaks etc ) e No <br /> 5 Were sample custody seals i itact? N/ Y-es No <br /> Sign and date the COC, place in a zaplock and put in the same ice chest asjke samples <br /> Sample Receipt Review completed by(initials) <br /> ISample Receipt at SP: <br /> 1 Were samples received in a chilled condition? Temps 141 l I I I <br />' Acceptable is above freezing to 6°C If many packages are received atone time check for tests/H T's/rushes/Bacti's to <br /> prioritize further review Please notify Microbiology personnel immediately of bacti samples received <br /> 2 Do the number of bottles received agree with the COC? e No N/A <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc ) No <br /> 4 Were sample custody seals intact9 Pr-� <br /> Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels <br /> Sample Verification,Labeling and Distribution: <br />' 1 Were all requested analyses understood and acceptable? No <br /> 2 Did bottle labels correspond with the client's ID's9 ��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 No <br /> IS 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 delivery <br /> Sample Receipt, Lagan and Verification completed by (initials) <br /> Discrepancy Documentation. <br /> Any items above which are "No" or do not meet specifications (i e temps) must be resolved <br /> I Person Contacted Phone Number _ <br /> Initiated By <br /> Problem (3-14996) <br /> Ground Zero Analysis <br /> Resolution STK0 4 3 6 5 0 9 <br /> Iv-09/17/2004-09.25 05 <br /> -- A it--1--1 z1-1 .+1, 1-1_ -- <br /> h i�_ <br />