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FGL Environmental v' Doc 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: <br /> 2. Were samples received in a chilled condition? Temps:al- / <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(R(T)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/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel inunediately of bacti samples received.. <br /> 3. Do the number of bottles received agree with the COC? a No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? No <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 sa les. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> I. 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.) No <br /> 4. Were sample custody seals intact? Yes N/ <br /> Sign and date the COC. obtain LIMS sample numbers, select methods/tests and print-16-cis. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? a No <br /> 2. Did bottle labels correspond with the client's ID's? Y No <br /> 3. Were all bottles requiring sample preservation properly preserved? Ye No N/A FGL <br /> 4. VOAs checked for Headspace? es No N/A <br /> 5. Were all analyses within holding times at time of receipt? Yes 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 delive <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 /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> SRP-04/10/2009-11:49:07 <br />