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FGL Environmental av: JIIJV7VtDVVG_ovr_a c.sr`r� Revision Date: 10/09/14 Page 1 of 1 lCnter- tory Condition Upon Receipt (Attach to COC) ZD,5�� Sample Receipt a STK CC CH V)1 1. Number of is ckages received: Shipping tracking# 2. Were samples received in a chilled condition? Temps: 40 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. Yes No 5. VOAs checked for Headspace? Yes No 6. Were sample custody seals intact? Yes N 7. If required, was sample split for pH analysis? Yes,, N 8. Were all analyses within holding times at time of receipt? eesNo 9. Verifysample date, time and sampler name No Sign and date the COC, place in a ziplock and put i he same ice rhples. Sample Receipt Review completed by (initials): Sample Receipt at SP- I Were samples received in a chilled condition? Temps: Acceptable is above freezing to 66) C. If many packages are received at one time check for tesWI-I.T.'s/rushes' 2. Shipping tracking numbe s: t r 3. Do the number of bottles received agree with the COC? e No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No 5. Were sample custody seals intact? Yes No Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labes. 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? No N/A FGL lException:Oil&Grease,VOA and CrVI verified in [fib] 4. VOAs checked for Headspace? Yes No 5. Have rush or project due dates been checked and accepted? Yes No 1 6. Were all analyses within holding times at time of receipt? 1W No Attach labels to the containers and include a copy of the COC for b deliv 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: Phone Number: Initiated By: Problem: (3017919) Resolution: San boa1n �DUnt� END (Please use the back of this sheet for additional corn(Please contacts) srp 11/03/2020 16:16:56