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FGL Environmental Doc ID:3DO900002_ OP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- ry Condition Upon Receipt (Attach to C Q <br /> Sample Receipt a STK JCC CH VI <br /> 1. Number of' ackages received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 5.5-/ / / / <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >100 C, ether 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? N N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks et s N <br /> 5. VOAs checked for Headspace? Yes N <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required, was sample split for pH analysis? N <br /> 8. Were all analyses within holding times at time of receipt? es No <br /> 9. Verify sample date, time and sampler name es o <br /> Sign and date the COC, place in a ziplock and put in t s e is ches as t e sample . <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: ,l L <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/H.T. s/rushes/ <br /> 2. Shipping tracking numbers: <br /> > 1" P013 <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.) <Ies 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 1 bels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? a No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> lException:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No7ved.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? No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <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 res <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: (3018181) <br /> Initiated By: <br /> Problem: Metal Finishing Solutions, Inc <br /> Resolution: STU158001 <br /> (Please use the back of this sheet for additional c cda 1211712021 16:49:05 <br /> contacts) �I I�I���I�III�I�II�IIIII�IIU <br />