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FGL Environmental Doc ID:3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit' pon Receipt (Attach to COQ,��(p , <br /> Sample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages recei Shipping tracking#(s): <br /> 2. Temp IR Gun ID <br /> 3. Were samples received on ice? Ye No Temps: <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 twoiY <br /> 4. Do the number of bottles received agree with the COC? No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <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 andpsame ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): ��(�, �3 1 <br /> yzll �s� <br /> 2. Temp IR Gun ID #: -T ,LGC1 / <br /> 3. Were samples received on ice? 10No Temps: [ I I II <br /> Acceptable is above freezing to 6°C. If many 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? es No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yev 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? Yes No <br /> 2. Did bottle labels correspond with the client's ID's? Yes, No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No NW FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? OLes. No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No LA/ <br /> 6. Were all analyses within holding times at time of receipt? Yes No <br /> Attach labels to the containers and include a copy of the COC for lab deli <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 EHO <br /> (Please use the back of this sheet for additional comments or coni STu436557 <br /> iv 0510912024 06:59:49 <br /> IIl(���I lll��ll�l�ll��lllll�I�I <br /> STr2435S57 <br />