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FGL Environmental Doc ID: F312EC0�-3.005 <br /> Revision Date: 2/13/09 Page: I of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: �p <br /> 2. Were samples received in a chilled condition? Temps: 0t✓'.1- <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice M51) 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/rusheslBact i's to <br /> prioritize further review. Please notify Microbiology personnel inunediately of bac es 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 /> S. VOAs checked for I3eadspace? Ycs oNZA <br /> 6. Were sample custody seals intact'? Yes No NIA <br /> Sign and date the COC. place in a ziplock and put in the same ice chest as the sa►yrp <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 many packages are received at one time check for <br /> tests/H.'r.'s/ushes/Bacti's to prioritize further review. Please notify,blicrob' gy personnel <br /> immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? No N/ <br /> 3. Were samples received intact?(i.e.no broken bottles, leaks etc.) No <br /> 4. Were sample custody seals intact? 'Oes No <br /> Sign and date the COC.obtain LU AS sample numbers, select methods/tests aJYes'a' <br /> . els. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond .with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved'? No N/A I=GL <br /> 4. VOAs checked for l ieadspace? No N/A <br /> S. Were all analyses within holding times at time of receipt? No <br /> 6. Have rush or project due dates been checked and accepted? s Noll <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 Documen(ation: <br /> Any items above which arc"No"or do not meet specifications(i.e.temps)must be resolved. <br /> 1. Person Contacted:_ Phone Number: <br /> lnitiatcd By: Date: <br /> Problem: —� <br /> Resolution: r— (3-11544) <br /> ft <br /> co FaM olive E vlroivental re <br /> 452 <br /> STK1232 <br /> SRp-03/22/2012-10:25:26 <br />