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(3016608) <br />Live: Oaktia Environmental <br />5TK P., <br />etc 12/0412020115:58:291 <br />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional ( <br />contacts) <br />FGL Environmental DOC ID:..1.1JUYWARIA_MJr_IL..LPUL. <br />Revision Date: 10/09/14 Page 1 of! <br />Inter- tory Condition Upon Receipt (Attach to C0C)2 0 sccr7_2, <br />Sample Receipt at: CC CH VI <br />1. Number of ice c es /packages received: 1 Shipping tracking # <br />2.I 6-3 Were samples received in a chilled condition? Temps: /., • / rol- 1 1 1 <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 />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />VOAs checked for Headspace? <br />Were sample custody seals intact? <br />Yes <br />If required, was sample split for pH analysis? <br />Yes <br />Were all analyses within holding times at time of receipt? <br />Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put e same ice chest as <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: c <br />Were samples received in a chilled condition? Temps: / I <br />Acceptable is above freezing to 6m, C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />Shipping tracking numbers: <br />1-12337i0 (41-35 <br />Do the number of bottles received agree with the COC? eelP No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) 110 No <br />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 />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client's ID's? <br />Were all bottles requiring sample preservation properly preserved? <br />[Exception: Oil & Grease, VOA and CrVI verified in lab] <br />VOAs checked for Headspace? No N/A <br />Have rush or project due dates been checked and accepted? 1L No N/A <br />Were all analyses within holding times at time of receipt? No <br />Attach labels to the containers and include a copy of the COC for lab delivery. <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 />No N/A <br />No <br />No N/A <br />No <br />No C1VD <br />No <br />No <br />e samples. <br />No <br />No <br />No N/A FGL