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FGL Environmental Doc ID:3DO900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La tory Condition Upon Receipt (Attach to COC)2 533 032— <br /> Sample Receipt at: STK CC / CH VI <br /> 1. Number of ice c packages received: ( Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: b09 / <br /> Surface water S WTR bact samples: A sample that has a temperature upo receipt of ;7-1—0-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? eV No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) e No <br /> 5. VOAs checked for Headspace? es No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler namea No <br /> Sign and date the COC, place in a ziplock and put ' the same ice chest ase samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? emps: / / ? / / <br /> Acceptable is above freezing to 6j&C. If many packages a received at one time check for tests/H.T."rushes/ <br /> 2. Shipping cki nJ mbers: <br /> � <br /> 3. DU io the number o bottlg <br /> e rec iv d a ee with the COC? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye No <br /> 5. Were sample custody seals intact? Yes No N/ <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? Ye No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No 0 FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? No <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? a!� No <br /> Attach labels to the containers and include a copy of the COC for lab deliver-----, <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: (3-16608) <br /> Initiated By: Live Oak Geo Enviromental <br /> Problem: <br /> Resolution: CJ'TK 2®3 3 6 3 2 <br /> (Please use the back of this sheet for addit APB-03/16/2020-16:47:05 number here <br /> contacts) _ -- <br />