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WIL Enviiroximelttal Doc IID• <br /> ME0005.062 �. <br /> 'Revision Date.: Q-1/20/04 Page: 1 of 1 <br /> Stoc>kto - Condition Up®.ja.Veeeipt.(At`tac:h to..COC) <br /> Samp1Q:9ece1pt at STK: <br /> 1. Number of.ice chests/packages received: <br /> Wete samples received in a chilled condition?Jerrlps: <br /> 2. p . . <br /> Acceptable is above freezing to 6°C. Also aeceptable is'received ori 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 atone time check for tests/H.T.'s/rushes/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 CO-C? No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 5- Were sample custody seals intact? N Yes No <br /> zi lock and put in the same ice chest as Ales. <br /> Sign and date the-COC,place m a <br /> p - <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 marry packages are received at one time.check for tests1H.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? es No N/A <br /> i <br /> 3. Were samples received intact? (i.e.no broken bottles, leaks etc.) s No <br /> s <br /> 4. Were sample custody seals intact? Yes No . <br /> LIMS sample numbers, select methods/tests and print labels. <br /> Sign and date the COC, obtain <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and-acceptable? e No <br /> e labels caries and with the client's 10"s? s No <br /> 2. <br /> Mid bottle p <br /> 3. Were all bottles requiring sample.preservation properly preserved? No N/A FGL <br /> idin .times at tirrle of receipt? , e No <br /> 4, Were all analyses-within ho g <br /> 5: i ave rush or project due dates been checked acid accepted? Yes No <br /> .fora tab delivery. <br /> Attach labels to the containers and include a copy of the COC <br /> Sample Receipt,Login.and Verification completed by (initials): <br /> Discrepancy Documentation: Abe r <br /> Any items above whichare"No" or do abt.meet specifications (i.e. <br /> on� rrlber: <br /> Person Contacted:. ate <br /> initiated By. <br /> Problem: <br />