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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-3.DOC <br />Page 1 of 1 <br />Inter- iry Condition Upon Receipt (Attach to COC)7'1'3 <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; /3 z / —/—/—/ <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 N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No <br />5. VOAs checked for Headspace? Yes No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? No <br />8. Were all analyses within holding times at time of receipt?—(7nNo <br />9. Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put in t e ice chest aples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: U <br />1. Were sampless: received in a chilled condition? Tem � / / / / <br />p — <br />Acceptable is above freezing to 6LJ C. if many ackages are received tone time check f tests/H.T.'s/tushes/ <br />2. Shipping tr cki ers: <br />�� <br />3. Do the n er of bottles received agree with the COC? es 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? es No (S9 <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? te <br />No <br />3. Were all bottles requiring sample preservation properly preserved? NoN/A FGL <br />[Exception: Oil & Grease, VOA and CM verified in labs �� <br />4. VOAs checked for Headspace? Yes No r cz,4 <br />5. Have rush or project due dates been checked and accepted? Yes No RV <br />6. Were all analyses within holding times at time of receipt? 6) No <br />Attach labels to the containers and include a copy of the COC for lab delivery. <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 additiol <br />contacts) <br />(annsis) <br />San Joaquin County EHE <br />SiN2 <br />131438 <br />,oe�0a3uFn1743:=6 <br />here <br />