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FGL Environmental Doc ID:3DO900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La to Condition Upon Receipt Attach to COC <br /> r3' P P � ) , <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking# <br /> Q o <br /> 2. Were samples received in a chilled condition? Temps: - 9 / / <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? No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <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? Y 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 the a ice chest as the 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 6U C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> ss q?o w0-7q / -as I <br /> 3. Do the number of bottles received agree with the COC? Ws No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) Ye No <br /> 5. Were sample custody seals intact? Yes No WA <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? Ye No <br /> 2. Did bottle labels correspond with the client's ID's? 'K& No <br /> 3. Were all bottles requiring sample preservation properly preserved? )&s No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No I�1/ <br /> 5. Have rush or project due dates been checked and accepted? Yes No I k <br /> 6. Were all analyses within holding times at time of receipt? les 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): C17A <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: - - - (3011919) <br /> Initiated By: San Joaquin County EHD <br /> Problem: <br /> Resolution: ST191OL255429 <br /> iv 10127120212 08]:16:04 <br /> (Please use the back of this sheet for additional conn I11111I1�1`11111Illllllll1111'I11II1�1 <br /> contacts) STK2255429 <br />