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FGL Environm <br />Revision Date: l <br />Sample Receil <br />1. Number t <br />2. Were sam <br />Surface wa <br />should be flagged <br />4 <br />Doc ID: 3D0900002_SOP_12-3.DOC <br />Page 1 of 1 <br />iter-La"atory Condition Upon Receipt (Attach to COC) vfl5a316 <br />at: ST CC CH VI <br />'ice ches s/packages received: Shipping tracking # <br />les received in a chilled condition? Temps: /d 2 / <br />r SWTR bact samples: A sample that has a temperature upon receipt of >I 0' C, whether iced or not, <br />nless the time since sample collection has been less than two hours. <br />3. <br />Do the number <br />of bottles received agree with the COC? �No <br />N/A <br />4. <br />Were samples <br />received intact? (i.e. no broken bottles, leaks etc.) No <br />requiring sample preservation properly preserved? No N/A FGL <br />5. <br />VOAs checked <br />for Headspace? (2�;--DNo <br />N/A <br />6. <br />Were sarr <br />le custody seals intact? Yes No <br />ialyses within holding times at time of receipt?No <br />7. <br />If require <br />, was sample split for pH analysis? Yes No <br />/ <br />8. <br />Were all o <br />nalyses within holding times at time of receipt? No <br />which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />9. <br />Verify sat <br />No <br />iple date, time and sampler name timples. <br />Date: <br />Sign and date the <br />COC, place in a ziplock and put in t e e ice chest as <br />Resolution. <br />Sample Receipt <br />Review completed by (initials): <br />(301, 6608) <br />Sample Receipt <br />at SP: p <br />3 <br />Initiated B <br />1. <br />Were samles <br />received in a chilled condition? Temps:—4/ / / 1 <br />1 <br />STI K21-5231,0 <br />Acceptable <br />s above freezing to 6E C. if many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. <br />Shipping I <br />racking numbers: t5 )11142 qC, Y o + <br />3. <br />Do thenumber <br />of bottles received agree with the COC? No <br />N/A <br />4. <br />Were sam <br />les received intact? (i.e. no broken bottles, leaks etc.) es No <br />5. <br />Were sam <br />le custody seals intact? Yes No <br />N/ <br />Sign and date tf <br />e COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verific <br />tion, Labeling and Distribution: <br />1. Were all requested <br />analyses understood and acceptable? No <br />2. Did bottle <br />No <br />labels correspond with the client's ID's?ge <br />3. Were all bottles <br />requiring sample preservation properly preserved? No N/A FGL <br />lException: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs ch <br />ked for Headspace? Yes No <br />5. Have rush <br />or project due dates been checked and accepted? s No N/A <br />6. Were all a <br />ialyses within holding times at time of receipt?No <br />Attach labels to the <br />containers and include a copy of the COC for lab delie <br />Sample Receipt <br />Login and Verification completed by (initials): <br />Discrepancy Documentation: <br />Any items above <br />which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />1. Person Co <br />tacted: Phone Number: <br />Initiated By: <br />Date: <br />Problem: <br />Resolution. <br />(301, 6608) <br />2. Person Contacted: <br />jj �} i <br />Initiated B <br />Problem: <br />„ <br />Resolutio <br />STI K21-5231,0 <br />cda 08/2712021,161--10) <br />(Please use the I <br />ack of this sheet for additional a <br />contacts) <br />All p� j <br />J <br />