Laserfiche WebLink
FGL Environmental Doe ID: F3REC005.005 <br /> Revision Date: 2/13/09 Page: 1 of I <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: �tv,t1 <br /> 2. Were samples received in a chilled condition? Tenips:aL <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/nishes.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 COC? =yes No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles. leaks etc.) Cyes No <br /> 5. VOAs checked for i-leadspace? Yes No N/A <br /> 6. Were sample custody seals intact? Yes No N/A <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 <br /> tests/fl.'I'.'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.) e 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 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? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> 4. VOAs checked for I feadspace? Yes No <br /> 5. Were all analyses within holding times at time of receipt'? es No <br /> 6. 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 /> Sample Receipt, Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which are"No"or do not mee specifications(i.e.temps)must beyakolved. <br /> 1. Person Contacted: /'Y 3r� Phone Number: LA13 <br /> Initiated By: 66V Ct Date: <br /> Problem: <br /> - <br /> Resolution: <br /> TthS /�`�('(�„r Cola'"!'' "! Solid Waste <br /> San torali11 uotaiF+� b. <br /> Sm ,. 031449 <br />