Laserfiche WebLink
FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L tory Condition Upon Receipt (Attach to COCWM,�/l <br /> Sample Receipt at: STK' CC CH VI z <br /> 1. Number of ice ch packages received: Shipping 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 >I 01 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.) Yes No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No ClaO <br /> 7. If required, was sample split for pH analysis? Y es No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name Ye No <br /> Sign and date the COC,place in a ziplock and put in the ice chest as the samples. <br /> Sample Receipt Review completed by (initials): 7 <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6`m C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> S,�O 2g3 y 3-73 / <br /> 3. Do the number of bottles received agree with the COC? 1 e No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) �es No <br /> 5. Were sample custody seals intact? Yes No 114h <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? *es No <br /> 2. Did bottle labels correspond with the client's ID's? 'Qs No <br /> 3. Were all bottles requiring sample preservation properly preserved? Y� No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No VA <br /> 5. Have rush or project due dates been checked and accepted? Yes No NCk <br /> 6. Were all analyses within holding times at time of receipt? NZ 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): QJA <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: (3017919) <br /> Problem: <br /> Resolution: � San Joaquin CountyAHD <br /> �: <br /> (Please use the back of this sheet for additional co STK2332214 <br /> contacts) iv 02/17/2023 07:29:29 <br /> Il!111111'1 111!1!1 l!l l 1�11!Ill!111111!1 <br /> STK2332214 <br />