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FGL Environmental Loc 1 ":.3"U7000U1&-0%,JL_.�..,.,. <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Intertory Condition Upon Receipt (Attach to COC <br /> Sample Receipt a STK CC I CH VI <br /> 1. Number of i ackages received: ( Shipping <br /> /tracking# <br /> 2. Were samples received in a chilled condition? Temps: <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I0°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? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) o <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? es No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC, place in a ziplock and put int same ice rhes a samples. <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 66) C. If many packages arg receive at one timc�the fo tes s/H.T.'s/ hes/ <br /> 2. ShipRing tracking numbers: SS `� � �� (� 1 V1 LqQe I <br /> 3. Do th number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) ' 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 labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? s No <br /> 2. Did bottle labels correspond with the client's ID's? e No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> lException:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes Not/A 5. Have rush or project due dates been checked and accepted? No <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> Attach labels to the containers and include a copy of the COC fo 1 livery. <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: (3017919) <br /> 2. Person Contacted: <br /> San Joaquin County END <br /> Initiated By: STIQ252686 <br /> Problem: iy 09/08/2022 08:06:24 <br /> Resolution: HUM111111111110 <br /> (Please use the back of this sheet for additic here <br /> contacts) <br />