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FGL Environmental Doc ID: 3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at:=a--ckages <br /> CC CH VI <br /> 1. Number of ice received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: l7ie/ / / / <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I00 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? s No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc. ' No <br /> 5. V OAs checked for Headspace? Yes No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes N <br /> 8. Were all analyses within holding times at time of receipt? o <br /> 9. Verify sample date, time and sampler name _ e �No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as amples. <br /> Sample Receipt Review completed by (initials)_ <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> P <br /> Acceptable is above freezing to 6+N.C. Lf many packages are ceived at one time check for tests/FI.T.'s/rushes/ <br /> 2. Shipping cking numbers: <br /> 3. Do the nuffiber 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 /> 5. Were sample custody seals intact? Yes No CfW <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? No <br /> 2. Did bottle labels correspond with the client's ID's? le No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No �1/') FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? es No N/A <br /> 5. Have rush or project due dates been checked and accepted? 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 for lab d ive . <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 /> (3-16608) <br /> 2. Person Contacted: LiVO 08- GeO E',V1r0;W"r'r1+ai <br /> Initiated By: <br /> Problem: v T K 19 3 6 3 2 5 <br /> Resolution: <br /> IV-05/06/2019-16:12:05 <br /> (Please use the back of this sheet for additional com here <br /> contacts) --- - --- --- --- --- - - -- <br />