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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002_SOP_12.DOC <br />Page 1 of 1 <br />Inter -L tory Condition Upon Receipt (Attach to COC) %g3o7-%y <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice chests/packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: &Y/ <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10' C, whether iced or not, <br />should be flagged unless the time since sample collection has been less than two hours. <br />3. Do the number of bottles received agree with the COC?No <br />N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />No <br />5. VOAs checked for Headspace? <br />es <br />No C N/ <br />6. Were sample custody seals intact? <br />Yes <br />No <br />7. If required, was sample split for pH analysis? <br />Yes <br />No <br />8. Were all analyses within holding times at time of receipt? <br />No <br />9. Verify sample date, time and sampler name <br />No <br />Sign and date the COC, place in a ziplock andp i e same ice chest as the samples. <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 6E C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: L' , �✓ 12� <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.) es No <br />5. Were sample custody seals intact? Yes No <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 client's ID's?es� No <br />3. Were all bottles requiring sample preservation properly preserved?� No N/A FGL <br />[Exception: Oil & Grease, VOA and CrV[ verified in labs <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? Yes No N/A <br />6. Were all analyses within holding times at time of receipt? No <br />Attach labels to the containers and include a copy of the COC f r, ry. <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 />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional comment. <br />contacts) <br />nL- <br />(3-1'7919 ) <br />C!"n 7^a4 1n vv�ui�Xtaw <br />CMV; 0"7111� <br />t„i11�y�J� i l <br />IV-01/14j2®19-15:53:41 <br />