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GL Environmental Doc :F3 0005.004 <br /> Revision Date: 10/23/07 Page: 1 of 1 <br /> Stockton - Condition Upon ecei (Attach to COO <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 tests/H.T.'s/rushes/Bacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately ofbacti 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.e. no broken bottles,leaks etc.) es No <br /> 5. Were sample custody seals intact? N/A Yes No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as th p <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> L Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. If many packages are receival at one time check for testsM.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? Yes No N/A <br /> 3. Were samples received intact?(i.e.no broken bottles, leaks etc.) Yes No <br /> 4. Were sample custody seals intact? Ni Yes No <br /> Sign and date the COC,obtain LM4S sample numbers, select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? Ye No <br /> 2. Did bottle labels correspond with the client's 's? Yes No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> 4. VOAs checked for Headspace? Yes No N/ <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? N/ 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 meet specifications(i.e. temps)must be resolved. <br /> I. Person Contacted: Phone Number: y <br /> Initiated By: -- _ Date: -- - <br /> Problem: <br /> (3-12203) <br /> Res®lotion: Scotts H�nex Corporatolt <br /> ST 07 101 <br /> IV-11/20/2007-12:07:55 <br />