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rtjiL Environmental 1u: .7LQ77tiUOfflLv3l3iC_YL.�v�� <br /> Revision bate: 10/09/14 Page 1 of 1 <br /> Inter- tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt a K CC CH VI <br /> 1. Number of is ackages received: _ _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:q/ / / I <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >100 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 N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc No <br /> 5. VOAs checked for Headspace? es No N/ <br /> 6. Were sample custody seals intact? es N <br /> 7. If required, was sample split for pH analysis? No - <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a ziplock and put in e e ice chest as the 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 60 C. if many packages are received atone time check f r tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 3. Do the number of bottles received agree with the COC? es) No NIA <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? Yes 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? V� No <br /> 2. Did bottle labels correspond with the client's ID's? Wes <br /> No <br /> 3. Were all bottles requiring sample preservation properly preserved? No FCL <br /> ]Exception:Oil&Grease,VOA and CM verified in iabl <br /> 4. VOAs checked for Headspace? es 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? es No <br /> Attach labels to the containers and include a copy of the COC for 1 livery. <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. temps) must be resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: <br /> Initiated By: (3g77919) <br /> Resolution: an boauia # EHE <br /> (Please use the back of this sheet for additional cot STR155606 <br /> contacts) srp 11/0312020 16:17:06 <br />