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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- atory Condition Upon Receipt (Attach to COC) <br /> Sample Receiptt: STK CC CH VI <br /> 1. Number of ice c e ackages received: Shipping tracking# • <br /> 2. Were samples received in a chilled condition? Temps: 3, I / / / I <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? s No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc. es No <br /> 5. V OAs checked for Headspace? Yes N <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? s N <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in the same ice camples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> S��-7 9-ol&c;LZ <br /> 3. Do the number of bottles received agree with the COC? Ess <br /> 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 @/A <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? tes <br /> No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> Exception:Oil&Grease,VOA and CM verified in lab) <br /> 4. VOAs checked for Headspace? Yes No NO <br /> 5. Have rush or project due dates been checked and accepted? Yes No Ma <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> Attach labels to the containers and include a copy of the COC forlab 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: (3017919) <br /> Probl <br /> R soleuti•o n: San Joaquin County EHD <br /> (Please use the back of this sheet for additional come STU331 367 <br /> contacts) iv 0210112023 09:35:23 <br /> ��II!Il nl�Illlllllllll�lllllllll�I� <br /> STV2331367 <br />