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FGL Environmental Doc ID: 3D0900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Conditpon Receipt (Attach to COC) of <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: <br /> 3. Were samples received on isYes No Temps: <br /> Surface water SWTR bact samples: A same a 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 /> 4. Do the number of bottles received agree with the COC? gase <br /> No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etcNo <br /> 6. VOAs checked for Headspace? No N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a ziplock and put int e ice chmples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking #(s}: <br /> y� <br /> 2. Temp IR Gun ID #:—�tV 5 01-7 111-7 <br /> 3. Were samples received on ice? es No Temps: <br /> Acceptable is above freezing to 6°C. If m y packages are received at one time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? Ye�, No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) es No <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? <eV No <br /> 2. Did bottle labels correspond with the client's ID's? mss/ No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/ FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes/ No N/A <br /> 5. Have rush or project due dates been checked and accepted? s No <br /> 6. Were all analyses within holding times at time of receipt? Ye 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 resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: (3017919) <br /> San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or cont; STU"435982 <br /> iv 0413012024 15:55:27 <br /> I l Il�l Il TI<2 13599 <br />