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FGL Environmental Revision Date: 10/09/14 Inter-Ltory Condition Sample Receipt at: STK CC 1. Number of ice ch packages received: _ Doc ID: 3DO900002_SOP_12-4.DOC Page 1 of 1 Upon Receipt (Attach to COC) cW k533 CH VI J_Shippiing tracking # 2. Were samples received in a chilled condition? Temps: 'f 3 / / / / Surface water SWTR batt samples: A sample that has a temperature upon receipt of >100 C, whether iced or not, should be flagged unless the time since sample collection has been less than two hours. 3. Do the number of bottles received agree with the COC? No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No 5. VOAs checked for Headspace? No N/A 6. Were sample custody seals intact? Yes No 7. If required, was sample split for pH analysis? Yes No 8. Were all analyses within holding times at time of receipt? No 9. Verify sample date, time and sampler name Yes No Sign and date the COC, place in a ziplock and put in TFe ice chest as e samples. Sample Receipt Review completed by (initials):_, Sample Receipt at SP: 1. Were samples received in a chilled condition? Temps: P P — Acceptable is above freezing to 6U C. If7—��5 y packages are received at one time check for tests/H.T.'s/rushes/ 2. S 'p ' trackin numbers: v1 � '� N N/A 3. Do the number of bottles received agree with the COC? es o 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No 5. Were sample custody seals intact? Yes No Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. Sample Verification, Labeling and Distribution: 1. Were all requested analyses understood and acceptable? No 2. Did bottle labels correspond with the client's ID's? Y No 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL [Exception: Oil & Grease, VOA and CM verified in labl �� 4. VOAs checked for Headspace? e No N/A 5. Have rush or project due dates been checked and accepted? Yes No )CA) 6. Were all analyses within holding times at time of receipt? W No Attach labels to the containers and include a copy of the COC for lab delivery. Sample Receipt, Login and Verification completed by (initials): Discrepancy Documentation: Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: 2. Person Contacted: Initiated By: Problem: Resolution: (Please use the back of this sheet for additior contacts) (3016608) Live Oak Goo Environmental STIQ136533 apb 051111202116:15:07 sere