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FGL Environmental Doc ID:2D0900157 ISOP 17-2.DOC Revision Date: 10/09/14 Page: 1 of 1 In-House Condition "oe4leceipt (Attach to COC) 301 17a CC C TK VI SP Sample Receipt: 1. Number of ice chests/packages received: 2. Shipper tracking numbers r 3. Were samples received in a chilled condition? Temps: 4. Surface water(SWTR) bact samples: A sample that has a temperature upon receipt of>10°C, whether iced or not, should be flagged unless the time since sample collection has been less than two hours. 5. Do the number of bottles received agree with the COC? MYes o N/A 6. Verify sample data,time, sampler o 7. Were samples received intact?(i.e. no broken bottles, leaks etc. o 8. Were sample custody seals intact? Yes NoN/A 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? s- No 3. Were all bottles requiring sample preservation properly preserved? Yes No2192/Z)FGL Exception:Oil&Grease,VOA and CrVI verified in Iabl 4. VOAs checked for Headspace? No 5. Were all analyses within holding times at time of receipt? No 6. Have rush or project due dates been checked and accepted? N/A es No Include a copy of the COC for lab delivery. (Bacti, Inorganics and Radio) Sample Receipt, Login and Verification completed by (initials): Discrepancy Documentation: (attach additional pages if needed) Any items above which are"No" or do not meet specifications(i.e. temps)must be resc lved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: 2. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: Attach label with lab number here Use this form %vhcn all containers arc staying in the lab quid not brine shipped to FGL-. P