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FGL Environmental Doc ID:F3RF,C005.005 <br /> Revision Date: 2/13/09 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: of <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 tests/H.T.'shushesBacti's to <br /> prioritize further review, Please notify Microbiology personnel immediately of bac ' spies received.. <br /> 3. 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.) Y No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No /A <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as ties. <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 <br /> tests/H.T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? Y No N/A <br /> 3. Were samples received intact?(i.e.no broken bottles,leaks etc.) es No <br /> 4. Were sample custody seals intact? es No N/A <br /> Sign and date the COC.obtain LIMS sample numbers,select methods/tests and ' abels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? Yes No <br /> 2. Did bottle labels correspond with the client's ID's? Ye No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for Headspace? Yes Nol/ (1`l <br /> 5. Were all analyses within holding times at time of receipt? s No `--J <br /> 6. Have rush or project due dates beenlchecked and accepted? �**o <br /> NN <br /> Attach Labels to the containers and include a copy of the COC for lab del <br /> ive� 41>Sample Receipt,Login and Verification c6mpleted by(initials): °t', <br /> ' <br /> a x <br /> 4'V,S (T) 1 <br /> Discrepancy Documentation: ;r t <br /> Any items above which a „ " o"or do not meet ecitications(i.e.temps)must be ON d. '? <br /> s 3 <br /> I. Person Contacte ._ 11 Phone Number: <br /> Initiated By: Date: <br /> ry. <br /> Problem: <br /> Resolution: �- <br /> Attach label with lab numbe .. -1 C� i <br /> rni <br />