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FGL Environ+ental Doc ID: 3D0900002_SOP_12-1.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />InterI tory Condition Upon Receipt (Attach to COC) A/5g4L99 <br />Sample Recet at• STK 9C CH VI <br />1. Number f is ages received: _Shipping tracking # // <br />2. Were s ples received in a chilled condition? Temps: M, / / / <br />Surface w ter SWTR bact samples: A sample that has a temperature upon receipt of >I 0* C, whether iced or not, <br />should be Hagge unless the time since sample collection has been less than two hours. <br />3. Do then imber of bottles received agree with the COC? No N/A <br />4. Were sar iples received intact? (i.e. no broken bottles, leaks et . No <br />5. VOAs cl ecked for Headspace? Yes N <br />6. Were sar iple custody seals intact? Yes <br />7. If requirt d, was sample split for pH analysis? Yes <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name No <br />Sign and date I he COC, place in a ziplock and put in the re ice--cC e samples. <br />Sample Recei Review completed by (initials): <br />Sample Recei t at SP: <br />1. Were sar iples received in a chilled condition? Temps: <br />Acceptabl is above freezing to 60 C. if many packages are received at one time check for tests/H.T.Wrushes/ <br />2. Shipping tacking numbers: <br />555SS b11J I J7& K2- / 701 / -70yO <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.) e No <br />5. Were sary ple custody seals intact? Yes No Sk <br />Sign and date t e COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verifi <br />ation, Labeling and Distribution: <br />1. Were all i <br />equested 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 />(Exception: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs che <br />cked for Headspace? Yes No I& <br />5. Have rush <br />or project due dates been checked and accepted? Yes No 10 <br />6. Were all analyses <br />within holding times at time of receipt? Is No <br />Attach labels to <br />the containers and include a copy of the COC for lab delivery. <br />Sample Receipt <br />Login and Verification completed by (initials):_ <br />Discrepancy Documentation: <br />Any items abov <br />which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />1. Person Contacted: <br />Phone Number: <br />Initiated <br />Date: <br />Problem: <br />2. Person Co t. <br />Initiated B <br />Problem: <br />(Please use the buck of this sheet for additional comme <br />contacts) <br />(3017919) <br />San Joaquin County EHO <br />ST12157908 <br />iv 12116/20210 8:39:42 <br />VI !V II �UI�IIUIfl1l�IUQllld fq <br />