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` Doc ID: P'3REC005 402 <br /> aGL Environr�ental Page: Y of 1 <br /> geYlsicn Date 16/11/02 <br /> Stockton - Conditi®n Upon Receipt (Attach to COC) <br /> SamplO Receipt at STK: eived. <br /> 1 Number of ire chests/Packages rec <br /> ? Temps ___— • I--�-�-I <br /> 2 Were samples received In a chilled Condition s on ice for the <br /> Acceptable xs above freezing#0 6° G Also acceptab one,hout of ecelpt Olient contact fort mperatupre failures <br /> p if sampled within <br /> received at room temperature(xxT} acka es are received at one time check for tests/H T shushes/Bacti s tQ <br /> must be documented below if mapy p g lMicrobicersonnel xntirriediately <br /> ogY P of bactr samples received. <br /> ptlont3ze further review Please notify Na N/A <br /> Do the number of bottles received agree with the �OC� Y <br /> 3. es No <br /> 4 Were samples received intact? (i,e no broken bottles, leaks etc ) <br /> /A, Yes No <br /> 5 Were sample custody seals intact? <br /> lace in �;zlplbck and put in the same ice chest as the le <br /> Sign and date the COC,p initials) <br /> Sample Receipt Review completdd by <br /> Sample Receipt at SP: / <br /> Were samples received in a chilled condition? Temps. --~`J <br /> 1 eezing ° acka es are received at one time check far tests�T'slrushesBacti's to <br /> Accept <br /> able is above forth I review r Please noto tfy Mlcrob ology pe sonnet irnmzd�axslY°f bact� sample <br /> e COC? No NIA <br /> 2 Db the number of bottles received agreo with th <br /> e No �, <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc ) ; <br /> NIA ,Yes No <br /> 4 Were sample custody seals intact9 <br /> date the COC, obtain LIMS sample numbers, select methods/tests arxd'Pnnt labels <br /> Sign and , <br /> s�ple Verification,Labeling and Distribution. y s No <br /> I �' Were all requested analyses understood and acceptable <br /> es No <br /> 2 Did bottle labels correspond with the client's �r sp properly reserved? e No NIA FGL <br /> 3 Were all battles requiring sample preseryation prop y P <br /> No <br /> 4 Were all analyses within holding times at time of receipk� , <br /> s No <br /> Have rush or project due dates been checked anal accepted? IA l <br /> Attach labels to the containers and include a copy of tY�e COC for lab de iv <br /> 'i <br /> Sample Receipt, Login and Verificatio11 comp feted by (initials) <br /> (3-14996) <br /> Discrepancy Doculnentatlon Ground sera Analysis <br /> Any items above which are ' No" or do not meet specific <br /> 0 1 person Contacted106 <br /> lnii,ated By ��� S TKO 4 3 2 <br /> Problem SRP-04/01/2004-14 32 26 <br />