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i <br /> FGL Environmental Doc ID: 3DO900002_SOP_12-1.DOC <br /> Revision Date: 0/09/14 Page 1 of 1 <br /> Inter-La tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at• K CC CH VI <br /> 1. Numberof ice es s packages received: _Shipping tracking# <br /> 740 <br /> 2. Were samples received in a chille I condition? Temps: f O <br /> Surface w ter S WTR bact samples: A s mple that has a temperature upon receipt of ;7-10—.C,whether iced or not, <br /> should be flaggec unless the time since sample collection has been less than itwo hours. <br /> 3. Do the n mber of bottles received agree with the COC? Ies No N/A <br /> 4. Were s pies received intact? (i. no broken bottles, leak's etc. No <br /> 5. VOAs c ecked for Headspace? e No N/A <br /> 6. Were sample custody seals intac Yes N <br /> 7. If required, was sample split for H analysis? Yes N <br /> 8. Were all analyses within holding times at time of receipt?' o <br /> 9. Verify sample date,time and sampler name �eso <br /> Sign and date he COC, place in a zipl ck and put in he same i e the samples. <br /> Sample Recei t Review completed by initials): <br /> Sample Recei A at SP: <br /> 1. Were sar iples received in a chill d condition? Temps: / <br /> Acceptablo is above freezing to 6-C. If many packages are received ai onetime check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 5Z 13 Zai rt 33GiD <br /> 3. Do thenumber of bottles receive I agree with the COC? �fes <br /> No N/A <br /> 4. Were s ples received intact? (i . no broken bottles, le s etc.) No <br /> 5. Were s ple custody seals intac ? No <br /> Sign and date he COC, obtain LIMS sample numbers, selectethods/tests and print labe s. <br /> Sample Verif.cation, Labeling andDistribution: 7 <br /> 1. Were all requested analyses undt rstood and acceptable? e No <br /> 2. Did bott a labels correspond wit the client's ID's? e No <br /> 3. Were all bottles requiring sampl preservation properly preserved? Yes No (fD FGL <br /> IException: it&Grease,VOA and CM vera ed in labl <br /> 4. VOAs c ecked for Headspace? e No N/A <br /> 5. Have rush or project due dates b en checked and accepted? es No N/A <br /> 6. Were al analyses within holdingtimes at time of receipt? No <br /> Attach labels o the containers and inc ude a copy of the COC for lab deliv ry. <br /> Sample Receipt, Login and Verificati n completed by (initials):_1 <br /> Discrepancy ocumentation: <br /> Any items above which are"No"or do not meet specifications (i.e. temps) must be resolved. <br /> 1. PersonContacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person ontacted: (J-1 bbod) <br /> T i t�c (1�lr <br /> Initiated By: 7"t ri rnntnant e l <br /> By: .+. r� vu�► VVV "&V aL„+ uwi+��i <br /> Pro <br /> l 9V <br /> fResolution: STK` v VJ <br /> (Please use th back of this sheet for additional court 1V-�b/1y/LIdLtO-1b:��o:5/ tete <br /> contacts) <br />