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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> ' ' n Receipt Attach to COC <br /> Inter- story Condition Upo p ( ) �2 <br /> Sample Receipt a STK CC CH VI <br /> I. Number of' ackages received: f Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: I,7/ / <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >100 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 in th same icAches a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps:(Lc�./ <br /> Acceptable is above freezing to 60 C. If many packages arg receive at one tim the fo tes sM.T.'s/ hes/ <br /> 2. gDoth <br /> ng tracking numbers: �S `� �� 41A <br /> 3. numberof bottles received agree with the COC? 6�s No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) 6�_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? a No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No / <br /> 5. Have rush or project due dates been checked and accepted? No C/A <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 fib 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 /> I. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: — — -- — - - <br /> Resolution: (3017919) <br /> San Joaquin Count EHD <br /> 2. Person Contacted: <br /> Initiated By: STK2252686 <br /> Problem: iv 09/08/2022 08:06:24 <br /> Resolution: E11111111111110111111 <br /> STK2252e85 <br /> (Please use the back of this sheet for additic here <br /> contacts) <br />