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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 1 I I I <br /> Acceptable is above freezing to 6° C Also acceptable is received on ice(R(5I) 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 back sam les received <br /> i3 Do the number of bottles received agree with the COC? No N/A <br /> 4 Were samples received intact? (i e no broken bottles, leaks etc ) 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 mples <br />' Sample Receipt Review completed by (initials) <br /> Sample Receipt at SP <br /> 1 Were samples received in a chilled condition9 Temps f I I 1 <br />' Acceptable is above freezing to 6' C If many packages are received atone time check for tests/H T's/rushes/$acti'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? es i No N/A <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc ) es i No <br />' 4 Were sample custody seals intact? A� Yes No <br /> Sign and date the COC, obtain LINTS 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's? No <br />' Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> 3 q g <br />' 4 Were all analyses within holding times at time of receipt? es No <br /> 5 Have rush or project due dates been checked and accepted' v Yes No T <br />' Attach labels to the containers and include a copy of the COC for lab delive <br /> Sample Receipt, Login and Venfication completed by (initials) ' <br /> SDiscrepancy 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 <br /> Problem Ground Zero - Stockton <br /> Resolution SP 0406530 <br />' SB-06/28/2004-11 41 12 <br />