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FGL Environmental Doc ID: 3D0900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> nter-La tory Condition Upon Receipt (Attach to COC) 0 1,VZ --7 <br /> Sample Receipt at: ST CC CH VI <br /> 1. Number of ice c ages received: _Ship in tracking # <br /> 2. Were sam les received in a chilled condition? Temps: <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I0'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 ch cked for Headspace? e No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If require 1, was sample split for pH analysis? No <br /> 8. Were all alyses within holding times at time of receipt? No <br /> 9. Verify s ple date, time and sampler name e No <br /> Sign and date die COC, place in a ziplock and put in t same ice the samples. <br /> Sample Receip I Review completed by (initials): <br /> Sample Receil it at SP: <br /> 1. Were samples received in a chilled condition? Temps: ';'5/ <br /> Acceptable is above freezing to 60 C. If many packages are received at one time check for tesWH.T.'s/rushes/ <br /> 2. Shipping tracking numbers: r <br /> 3. Do thenumber of bottles received agree with the COC? ge <br /> No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? Yes No 1D// <br /> Sign and date e 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? roe No <br /> 2. Did bottl labels correspond with the client's ID's? e No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> lException:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs c ecked for Headspace? es No <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 t the containers and include a copy of the COC for lab delivery. <br /> Sample Receipt, Login and Verification completed by (initials): <br /> DiscrepancyDocumentation: <br /> Any items above which are "No"or do not meet specifications (i.e. temps) must be resolved. <br /> 1. PersonContacted: Phone Number: <br /> Initiated y: Date: <br /> Problem <br /> Resolution: <br /> 2. PersonContacted: (3017919) <br /> Initiated By: San Joaquin County EHD <br /> Problem STU138242 <br /> Resolution: <br /> apb 06/09/2021 16:36:52 r here <br /> (Please use th( back of this sheet for additi- MIM111111111 <br /> contacts) Rn„.,,, <br />