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' FGL Environmental Doc ID F3REC005.002 <br /> Revision Date 10/11/02 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 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 withm 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/rushesBacti's to <br /> prioritize fitrther review Please notify Microbiology personnel immediately of bacti samples received <br /> 3 Do the number of bottles received agree with the COC? Q No N/A <br />' 4 Were samples received intact? (i e no broken bottles, leaks etc ) e No <br /> t <br /> 5 Were sample custody seals d&act? / Yes No <br />' Sign and date the COC,place in a ziplock and put m the same ice chest as Ae samples <br /> Sample Receipt Review completed by (initials) <br />' Sample Receipt at SP: <br /> 1 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 /> 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 intact? s 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's? es <br />' 3 Were all bottles requiring sample preservation properly preserved? Yes No <Ia�—FGL <br /> 4 Were all analyses within holding times at time of receipt? 26P, No <br />' 5 Have rush or project due dates been checked and accepted? C Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delivery ; <br />' Sample Receipt, Login and Verification completed by(initials) jr <br />' Discrepancy Documentation <br /> Any items above which are "No" or do not meet specifications (i e temps) must be resolved <br /> 1 Person Contacted Phone Number <br /> Initiated By (3-14996) <br /> Problem Ground Zero Analysis <br /> Resolution STK 0 4 3 6 510 <br /> IV-09/17/2004-09.26 04 <br /> 1 <br /> At toc-h 1.bcl with lab mirnber hct c <br />