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FGL Environmental Doc ID: 3DO900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: TK CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 4 � / <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? e No N/A <br /> 4. Were samples received intact? (i.e.no broken bottles, leaks etc.) e No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? No /A <br /> 8. Were all analyses within holding times at time of receipt? Y No <br /> 9. Verify sample date, time and sampler name Ye No <br /> Sign and date the COC, place in a ziplock n e same ice chest as the samples. <br /> Sample Receipt Review completed by (initi s <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 60 C. If manypaoicages are received at one time chec or te�sls/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: f7 <br /> ��� 12 <br /> �Uq��yJ J <br /> 3. Do the number of bottles received agree with the COC? C Ves No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es 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? No <br /> 2. Did bottle labels correspond with the client's ID's? A. Yes <br /> No <br /> 3. Were all bottles requiring sample preservation properly preserveNo N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes 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 to the containers and include a copy of the COC f iv ry. <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: Phone Number: <br /> Initiated By: F)'f— <br /> Problem: (3017919) <br /> Resolution: San Joaquin County EHD <br /> (Please use the back of this sheet for additional core STK2151151 J <br /> contacts) <br /> apb 08105/2021 16:56:13 <br /> IIII IIII III_III I �IIII <br />