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' FGL Environmental Doc ID F3RECO'15 J02 <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 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 testslH T 's/rushesBacti's to <br />' prioritize further review Please notify Microbiology personnel mnmediately of bacti samples received <br /> 3 Do the number of bottles received agree with the COC? es No N/A <br />' 4 Were samples received intact' (i 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 pies <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 atone time check for tests/H T's/rushesBacti'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 No N/A <br /> 3 Were samples received intact? (i a no broken bottles, leaks etc) es No <br /> 4 Were sample custody seals intact? xm�- 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? �e No <br />' 2 Did bottle labels correspond with the client's ID's? f`� 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? es No <br /> 5 Have rush or project due dates been checked and accepted? /A Yes No <br />' Attach labels to the containers and include a copy of the COC for lab deliv <br />' Sample Receipt, Login and Venfication 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 /> s <br /> p 0406520 <br />' S13-06/28/2004-11.41 11 <br />