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FGL Environmental Doc ID: 3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Lowic,atory Condition Upon Receipt (Attach to COC) C- (�q2s <br /> Sample Receipt at: STK CC I CH VI <br /> 1. Number of ice c packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: I /, <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >10'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? -Z�P No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No jTD <br /> 8. Were all analyses within holding times at time of receipt? a No <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC,place in a ziplock and putin4he same 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: 2/ <br /> Acceptable is above freezing to 6-0 C. If many packages are received at one time check for teststH.T.'s/rushes/ <br /> 2. Shipping tracking numbers: _ r-s_, <br /> 3. Do the number of bottles received agree with the COC? e No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) a No <br /> 5. Were sample custody seals intact? Yes No Q, <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? a No <br /> 2. Did bottle labels correspond with the client's ID's? e No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrV[verified in labl <br /> 4. VOAs checked for Headspace? s No N/A <br /> 5. Have rush or project due dates been checked and accepted? es No N/A <br /> 6. Were all analyses within holding times at time of receipt? a No <br /> Attach labels to the containers and include a copy of the COC for lU-7-7* <br /> dal* <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: '(3016600): <br /> Initiated By: C <br /> Problem: 1i��3 0 �('GprQilGll'.U'���m�rllla� <br /> Resolution: <br /> STK20,�� <br /> (Please use the back of this sheet for additional ire <br /> contacts) ctc 121041202015:58:35 <br />