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N/A FGL <br />FGL Environmental Doc ID: 3D0900002_SOP_12-3.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: CC /CH VI <br />Number of ice ches s packages received: Shipping tracking # <br />Were samples received in a chilled condition? Temps:/- 'a / / / / <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 />No N/A <br />No <br />No <br />No <br />No <br />No <br />No <br />e samples. <br />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />VOAs checked for Headspace? <br /> Yes <br />Were sample custody seals intact? <br /> Yes <br />If required, was sample split for pH analysis? <br /> Yes <br />Were all analyses within holding times at time of receipt? <br />Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put in t ame ice chest as t <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />/ I. Were samples received in a chilled condition? Temps: / / / <br />Acceptable is above freezing to 60 C. ifpackages are reed d at one time check tests/H.T.'s/rus ma y <br />Shippintrac c b s4) S1K) 7-P)C <br />g <br />Do the number of bottles received agree with the COC? No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br />Were sample custody seals intact? <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br /> Were all requested analyses understood and acceptable? No <br /> Did bottle labels correspond with the client's ID's? No <br /> Were all bottles requiring sample preservation properly preserved? e No <br />[Exception: Oil & Grease, VOA and CrVI verified in lab' <br /> VOAs checked for Headspace? Yes No <br /> Have rush or project due dates been checked and accepted? Yes No <br /> 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 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: Phone Number: <br />Initiated By: <br />Problem: (3017919) <br />Resolution: San Joaquin County EN <br />(Please use the back of this sheet for additic STK1136696 <br />contacts) lv 05112!2021 16:38:13 <br />_ <br />here