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FGL Environmental Doc ID: 3D0900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Con=ion Receipt (Attach to COC)Sample Receipt at: CC CHVI ' <br /> 1. Number of ice chests/packages received: �_ Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: 1 <br /> 3. Were samples received on ice? Yes No Temps: <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 /> 4. Do the number of bottles received agree with the COC? 4ase <br /> No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etcNo <br /> 6. VOAs checked for Headspace? No N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a ziplock and put inleCe ice chples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: ?7 Shipping tracking#(s): 5 617'/9 <br /> 2. Temp IR Gun ID#: i I/?.(J `I7§f7 01-7 <br /> 3. Were samples received on ice? No Temps: <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? Ye,v No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) YS&,, No <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? �Le�s No <br /> 2. Did bottle labels correspond with the client's ID's? T_es/ No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/� FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] �� <br /> 4. VOAs checked for Headspace? VSsl No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? Yes 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): kv-v— <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: Date: <br /> Problem: - <br /> Resolution: (3017919) <br /> San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or con* STU"435984 <br /> iv 04/301202415:55:18 <br /> STK2l4359Q59$ <br /> STK24 <br />