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FGL Environmental Doc ID: F3REC005.005 <br /> Revision Date: 2/13/09 Page: 1 of 1 <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:P&P�l <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(R61) 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/ntshesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of b les received.. <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles. leaks etc.) No <br /> 5. VOAs checked for 1-leadspace? Yes No NZA <br /> 6. Were sample custody seals intact? Yes No :— /A <br /> Sign and date the COC. place in a ziplock and put in the same ice chest as the sa ples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: / / ! (0:7 / <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for <br /> tests/1-l.'r.'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? No N/A <br /> 3. Were samples received intact'?(i.e. no broken bottles, leaks etc.) No <br /> 4. Were sample custody seals intact'? �esNo 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? es No <br /> 2. Did bottle labels correspond with the clients 1D's? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for 1-ieadspace? No N/A <br /> S. 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 deliv�ryp } <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.c.temps)must be resolved. <br /> 1. Person Contacted:_ Phone Number: <br /> Initiated By: D? <br /> Problem: (3-11544) <br /> Resolution. PIUSCO Fam1lY Olive Ovir0mZal <br /> STK1332465 <br /> IV-03/22/2013-10:49:27 <br />