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FGL Environmental Doc ID: 2D0900157_SOP_17.DOC <br /> Revision Date: 10/09/14 Page: 1 of 1 <br /> In-House Condition U eipt (Attach to COC) 63<2 011? 3Q8' <br /> CC =f I SP <br /> Sample Receipt: <br /> 1. Number of ice chests/packages received: <br /> 2. Shipper tracking numbers <br /> 3. Were samples received in a chilled condition? Temps: <br /> 4. Surface water(S WTR)bact samples: A sample that has a temperature upon receipt of>10°C, <br /> whether iced or not, should be flagged unless the time since sample collection has been less than <br /> two hours. <br /> 5. Do the number of bottles received agree with the COC? No N/A <br /> 6. Verify sample data, time, sampler No <br /> 7. Were samples received intact? (i.e. no broken bottles, leaks etc. No <br /> 8. Were sample custody seals intact? Yes No <br /> Sample Verification, Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? WYeso <br /> 2. Did bottle labels correspond with the client's ID's? o <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab) <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Were all analyses within holding times at time of receipt? 1i No <br /> 6. Have rush or project due dates been checked and accepted? es No <br /> Include a copy of the COC for lab delivery. (Bacti, Inorganics and Radio) <br /> Sample Receipt, Login and Verification completed by (initials): <br /> Discrepancy Documentation: (attach additional pages if needed) <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: <br /> Attach label with lab number here <br /> Use this form when all containers are staying in the lab and not being shipped to FGL-SP <br />