Laserfiche WebLink
FGL Environmental Doc ID: 3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Con on Receipt (Attach to COC) <br /> Sample Receipt at: CC CHSTK VI <br /> 1. Number of ice chests/packages received: ( Shipping tracking#(s): <br /> 2. Temp IR Gun ID #:� <br /> 3. Were samples received on ice Yes o Temps:L 1 • <br /> Surface water S WTR bact samples: saP 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 rs. <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 e Ye No <br /> 6. VOAs checked for Headspace? s N/A <br /> 7. Were all analyses within holding times at time of receipt? es No <br /> 8. Verify sample date, time and sampler name No <br /> Sign and date the COC,place in a ziplock and put i a e ice a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: 2 <br /> 1. Number of ice chests/packages received: l Shipping tracking#(s): '&7y I <br /> 2. Temp IR Gun ID #:I(-17-x`3 <br /> 3. Were samples received on ice? No Temps: ZG / / I / <br /> Acceptable is above freezing to 6°C. IfQey <br /> 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? Vow No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) 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? 'fie No <br /> 2. Did bottle labels correspond with the client's ID's? tem No <br /> 3. Were all bottles requiring sample preservation properly preserved? QLesJ No N/A FGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No ( 1�/ t <br /> 5. Have rush or project due dates been checked and accepted? Yes No X <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 deliver <br /> Sample Receipt, Login and Verification completed by (initials): t� <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: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: (3017919) <br /> San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or con STU435986 <br /> iv 0413012024 15:55:09 <br /> SU2435Illnlll l l 111 <br /> ST1:2433986 <br />