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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-3.DOC <br />Page 1 of 1 <br />Inter -L ory Condition Upon Receipt (Attach to COC) 9%1�79UZ <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice ches s packages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: J. l / / / / <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? o N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye o <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 t6 <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name Yes o <br />Sign and date the COC, place in a ziplock and put in t e ice chest asa amples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 6 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />5555 u�qq B" / 20gS / ry�0- <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. Were sample custody seals intact? Yes No 1/ <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? <br />No <br />2. Did bottle labels correspond with the client's ID's? e <br />No <br />3. Were all bottles requiring sample preservation properly preserved? Yes <br />No 1'/ FGL <br />[Exception: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? Yes <br />No / <br />5. Have rush or project due dates been checked and accepted? Yes <br />No / <br />6. Were all analyses within holding times at time of receipt? �@ <br />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 <br />be resolved. <br />1. Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional coma <br />contacts) <br />(3016608) <br />Live Oak Geo Environmental <br />STP157902 <br />iv 12/15/202107:16:58 <br />U111111011111111 <br />