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FGL Environmental Doc ID: 3DO900002_SOP_12-1.DOC Revision Date: 10/09/14 Page 1 of 1 Inter- atory Condition Upon Receipt (Attach to COC) cgl � ATJ Sample Receipt ft. STK CC r CH VI 1. Number of ice packages received: 1 Shipping tracking # 2. Were samples received in a chilled condition? Temps: I/ -I— / Surface water SWTR bact 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 less than twoho 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. Yes No 5. VOAs checked for Headspace? Yes No 6. Were sample custody seals intact? Yes N 7. If required, was sample split for pH analysis? (,,es N 9f 8. Were all analyses within holding times at time of receipt? No 9. Verify sample date, time and sampler name - - Ye No Sign and date the COC, place in a ziplock and put ' th same ice chest as the samples. Sample Receipt Review completed by (initials): Sample Receipt at SP: 1. Were samples received in a chilled condition? Temps: Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ 2. Shipping tracking numbers:�9C-// 5,L 3. Do the number of bottles received agree with the COC? es No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No 5. Were sample custody seals intact? Yes No (-N/ 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? e No 2. Did bottle labels correspond with the client's ID's? es No 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL [Exception: Oil & Grease, VOA and CM verified in lab] 4. VOAs checked for Headspace? Yes No 5. Have rush or project due dates been checked and accepted? Yes No / 6. Were all analyses within holding times at time of receipt? 5s No Attach labels to the containers and include a copy of the COC for lab delivery. Sample Receipt, Login and Verification completed by (initials): Discrepancy Documentation: Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: 2. Person Contacted: (3017919) Initiated By: San Joaquin County EHD Problem: STK2139718 Resolution: (Please use the back of this sheet for additional iv 07/12/2021 16:09:17 contacts) III VIII I III IIII IIIIIIIIIIIIIIIIII STk--1 974'_ re