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08-11-'15 15;41 FROM-SKSINC. 209-7593154 T-648 <br />P016/016 F-260 <br />..ENTERPRISES <br />Revisi6n Date: 10/09/14 40 P40 of 1 <br />Inter -L tory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice the packages received: / Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: 17 <br />Surface water SWTIt bact samples: A sample that has a temperature upon receipt of >l0° 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? No <br />N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) (—Y -e -s -J7 No <br />5. `V'OAs checked for Headspace? Yes No <br />6. Were sample custody seals intact? Yes No <br />N/ <br />7. If required, was sample split for pH analysis? No <br />/A <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 a am ice chest as a samples. <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 6N C. if many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: % � ,we��Iyge?) <br />J <br />3. Do the number of bottles received agree with the COC? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No <br />5. Were sample custody seals intact? As No N/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? <br />2. Did bottle labels correspond with the client's ID's? <br />3. Were all bottles requiring sample preservation properly preserved. <br />(Exception- Oil & Crease, VOA and CrVt verified in lab] <br />4. VOAs checked for Headspace? <br />5. Have rush or project due dates been checked and accepted? <br />6. Were all analyses within holding times at time of receipt? <br />Attach labels to the containers and include a copy of the COC forab do <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. t(M <br />1. Person Contacted: Phone Number: <br />Initiated By: Date: <br />No <br />Yes o <br />Yes No I /; <br />Yes No <br />No <br />vA� rr� <br />Problem: <br />Resolution: <br />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional commeni <br />contacts) <br />Received Tlme Aug, 11, 2015 3:46PM No, 1340 <br />volved. <br />Phone Numher- <br />(3--13071) <br />SKS Enterprises <br />S K1537 507 <br />FGaL <br />APB -07/10/2015-10:23:31 <br />