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FGL Environmental Doc ID:3DO909M-SOP_12-6.DOIC Revision Date: W09/14 Page 1 of 1 Inter-La tory Condition Upon Receipt(Attach to COC) l gd7�3 Sample Receipt at: CC 1 CH VI 1. Number of ice chests/packages received: ( Shipping tracking# 2. Were samples received in a chilled condition? Temps: /OCT; 15 / / J Surface water SWTR batt samples A sample that has a temperature upon receipt of>10'C,whether iced or not, should be flagged unless the time since sample collection has been leu than two hours. 3. Do the number of bottles received agree with the COC? No N/A 4. Were samples received intact?(Le. no broken bottles,leaks etc.) No 5. VOAs checked for Headspace? es No 6. Were sample custody seals intact? Yes N 7. If required,was sample split for pH analysis? Yes No 8. Were al I analyses within holding times at time of receipt? es No 9. Verify sample date,time and sampler name _ No Sign and date the COC,place in a ziplock and put in the same ice chest samples_ Sample Receipt Review completed by(initials): Sample Receipt at SP: 1. Were samples received in a chilled condition? Temps:q/ Acceptable is above freezing to 6J&C. if many packages aro received at one time check for teus/H.T.'s/rushes! 2. Shipping tracking numbers: 3. Do the number of bottles received agree with the COC? No N/A 4_ Were samples received intact?(i-e.no broken bottles,leaks etc.) No 5. Were sample custody seals intact? Yes No 11 Sign and date the COC,obtain LIMS sample numbers,select methods/tests and print labels. Sample Verification,Labeling and Distribution: 1. Were all requested analyses understood and acceptable? No 2. Did bottle labels correspond with the client's ID's? No 3. Were all bottles requiring sample preservation properly preserved? Yes No f FGL jE%"Vtiao:Oa d Grma-VOA and CM nri&d la labl 4. VOAs checked for Headspace? Yes No WA 5. Have rush or project due dates been checked and accepted? No 6. Were all analyses within holding times at time of receipt? No Attach labels to the containers and include a copy of the COC fo delivery. Sample Receipt,Login and Verification completed by(initials): Discrepancy Documentation: Any items above which are"No"or do not melt specifications(i.e.temps)must be resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: 2. Person Contacted: Phone Numhrr- Initiated By: j 3-14489) Problem: Smit Fcrm Resolution: STKI830703 (Please use the back of this sheet for additional comments o IY-01/16/Z028-15:45:48 contacts)