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FOL Environmental Doc ID: <br /> F'3RE000$:0®2 <br /> Revision Date: ®-1/20/04 Page: 1 0€1 <br /> _Stockton ConditiO4 Up&n.geceipt.(Aftath to..COC) <br /> 8 arnple7 keceipt at STK: <br /> l•' Number of ice chests/packages received: l ® _ <br /> 2. Were samples received in a ohilled condition?:Temps; ! /�!• / <br /> Acceptable is above freezing to 6°C. Also acceptable is'received on ice(ROI)for•'the-same day of sarnpling•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 fortesWH.T.'s/rushes/Bacti's to ' <br /> prioritize further review. Please.notify Microbiology personnel-immediately of bacti samples received. <br /> 3• :Do the number of bottles received agree•with the CQC? No N/A <br /> 4. Were samples received intact?(i.e.no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? `les No <br /> Sign and date the COC,place in a ziplock and put in the.same ice chest as p1es. <br /> Sample Receipt Review completed by(initials); <br /> Sample Receipt at SP: <br /> 1• Were samples received in a chilled condition? Temps: <br /> 6°C. If marry packages are received at one time.cheek for tests/H.T.'s/rushes/Bacti's to <br /> Acceptable is above freezing to <br /> fy Microbiology personnel itrunediately of bacti samples received. <br /> prioritize further review.-Please noti <br /> 2. Do the number of bottles received agree with the COC? : es' 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 No . <br /> Sign and date the COC, obtain L1MS sample numbers, select nnethods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> :l Were all requested analyses understood and'acceptable? e No <br /> Did bottle labels correspond with the client's ID's? 5 No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4.• Were all analyses Within hoiding.times at'time of receipt? • e No <br /> 5: Have rush or project due dates been checked.arid accepted? Yes No <br /> Attach labels to the containers and include°a copy of the.000.for:lab'delivery- <br /> nd Verification camp <br /> leted b_ :initials): <br /> Sample Receipt,Login a .� � <br /> Discrepancy DocumentatiOn: :be r <br /> Any items above which are."lrlo" or'do trot meet specifications(l one rnber• <br /> 1. Person Contacted:.. ate <br /> Zriittated By` <br /> Problem;:. <br />