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' FGL Environmental Doc ID: F3RECO05."02 <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 condition9 Temps I I I 1 <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 time check for tests/H T 's/rushesBacti'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 (F No NIA <br />' 4 Were samples received intact9 (x a no broken bottles, leaks etc ) es No <br /> 5 Were sample custody seals intact Yes 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) <br />' Sample Receipt at SP: <br /> 1 Were samples received in a chilled condition9 Temps <br /> Acceptable is above freezing to 6°C If many packages are received atone time check for tests/hl T's/rusheslBacti's to <br />' prioritize farther review Please notify Microbiology personnel immediately of baeti samples received <br /> 2 Do the number of bottles received agree with the COC9 es No N/A <br /> 3 Were samples received intact9 (i a no broken bottles, leaks etc ) es No <br /> 4 Were sample custody seals intact? 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's? res <br /> No <br />' 3 Were all bottles requiring sample preservation properly preserved No � FGL <br /> 4 Were all analyses within holding times at time of receipts No <br />' 5 Have rush or project due dates been checked and accepted9 Yes No <br /> Attach labels to the containers and include a copy of the COC for lab dell �5 r <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 Ground Zero - Stockton <br /> SP 0406522 <br />' SB-06/28/2004-11 41:11 <br />