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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-1.DOC <br />Page 1 of 1 <br />Inter- tory Condition Upon Receipt (Attach to COC) , F <br />Sample ReceiptC62 <br />STKCC CH VI <br />1. Number ofages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: /b,7 / / <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 No <br />5. VOAs checked for Headspace? No <br />6. Were sample custody seals intact? Yes ;N/A <br />7. If required, was sample split for pH analysis? es <br />8. Were all analyses within holding times at time of receipt? a No <br />9. Verify sample date, time and sampler name Tlo <br />Sign and date the COC, place in a ziplock and put i he same ice mples. <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 at one time check for tests/1-I.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />�3�1 U3�1 b <br />3. Do the number of bottles received agree with the COC? es No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) eso <br />5. Were sample custody seals intact? Yes o /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? e <br />No <br />2. Did bottle labels correspond with the client's ID's? e <br />No <br />3. Were all bottles requiring sample preservation properly preserved? Yes <br />No FGL <br />(Exception: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? <br />No N/A <br />5. Have rush or project due dates been checked and accepted? es <br />No <br />6. Were all analyses within holding times at time of receipt? <br />No <br />Attach labels to the containers and include a copy of the COC for lab Aelivery. <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: �0 °t3 Vitt( 9Mqft YeCL(W4 Ory r-ein <br />Do 1.,r:—„ <br />2. <br />"U"t) h VVI " WLZ iv <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional c <br />contacts) <br />ul�pl �i zt fwvn -3 VI�tS <br />(3017919) <br />San Joaquin County EHD <br />STU135656 <br />apb 041261202116:25:56 <br />HQBQl1I��QII�IIIIQOQ� <br />el <br />