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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 <br /> Acceptable is above freezing to 6°C Also acceptable is received on ice (ROI) for the same day of samplmg 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/rashes/Bacti'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 es No N/A <br /> 4 Were samples received intact? (i e no broken bottles, leaks etc ) e 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 condition? Temps <br /> Acceptable is above freezing to 6' C if many packages are received at one time check for tests/1-1 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 No N/A <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc ) No <br /> 4 Were sample custody seals intact? Yes No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and punt 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 />' properly p ? Ute' FGL <br /> 3 Were all bottles requiring sample preservationreserved Yes No <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? / ' Yes No <br />' Attach labels to the containers and include a copy of the COC for lab delivery <br /> ��,�� <br /> 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 e temps) must be resol"ed <br /> 1 Person Contacted Phone Number <br /> Initiated By Harp <br /> Problem <br /> Ground Zero - Stockton <br /> R-tsolution SP 0406529 <br />' SB-06/28/2004-11 41 12 <br />