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FGL Environmental Doc ID : 3DO900002_SOP_124 .DOC Revision Date : 10/09/14 Page 1 of 1 Inter- 4 atory Condition Upon Receipt (Attach to COC) iolqy5 Sample Receipt at : STK CC CH VI 1 . Number of ice ackages received : Shipping tracking # 2 . Were samples received in a chilled condition? Temps . Surface water SWTR bact samples : A sample that has a temperature upon receipt of > 10' C, whether iced or not, should be flagged unless the time since sample collection has been less than two hours . 3 . Do the number of bottles received agree with the COC ? No N/A 4 . Were samples received intact? (i . e . no broken bottles , leaks etc . ) e No 5 . VOAs checked for Headspace ? Yes No 6 . Were sample custody seals intact? Yes No / 7 . If required , was sample split for pH analysis ? Yes No 8 . Were all analyses within holding times at time of receipt? e No 9 . Verify sample date, time and sampler nameTte s No Sign and date the COC , place in a ziplock and put i e same ice chest asamples . Sample Receipt Review completed by (initials) : Sample Receipt at SP : 1 . Were samples received in a chilled condition? Temps : Acceptable is above freezing to 6jJ C . If many packages are received at one time check for tests/H.T. ' s/rushes/ 2 . Shipping tracking numbers : P I14?ii 1 � 1r1� 1 , owl ��G`-f 3 . Do the number of bottles received agree with the COC ? PeNo N/A 4 . Were samples received intact? (i . e . no broken bottles , leaks etc . ) . No 5 . Were sample custody seals intact? Yes No N/ Sign and date the COC , obtain LIMS sample numbers , select methods/tests and print labels . Sample Verification, Labeling and Distribution . 1 . Were all requested analyses understood and acceptable ? e No 2 . Did bottle labels correspond with the client' s ID ' s? es No 3 . Were all bottles requiring sample preservation properly preserved ? Yes No FGL [Exception : Oil & Grease, VOA and CrVI verified in lab] 4 . V OAs checked for Headspace ? Yes No 5 . Have rush or project due dates been checked and accepted? Yes No tN 7 6 . Were all analyses within holding times at time of receipt? eesy No Attach labels to the containers and include a copy of the COC for lab delivery . Sample Receipt, Login and Verification completed by (initials) . Discrepancy Documentation . Any items above which are "No " or do not meet specifications (i . e . temps) must be resolved . 1 . Person Contacted : Phone Number : Initiated By : Date : Problem : Resolution . 2 . Person Contacted : Initiated By : hAr, tP% l I:' i inh y, n �, r, i „ t + nn � ► � � Problem : : . V 111.1 : i : : : i ,J . . i : i1� N•Y : N V : •Y : �Inl1 i : �M . Resolution : �• m ! t L, k /I Ll LI V .L. i % 1 % ../ V i i .✓ sere (Please use the back of this sheet for additional com> lv- il / 911 2V31y - 16 : contacts)