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FGL Environmental Doc ID:3D0900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit' on Receipt (Attach to COC) <br /> Sample Receipt at: CC CH S VI <br /> 1. Number of ice chests/packages receive Shipping tracking #(s): <br /> 2. Temp IR Gun ID #: {ft� - <br /> 3. Were samples received on i�. ple <br /> o Temps: <br /> Surface water SWTR bact samplehas 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 /> 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 1� <br /> 7. Were all analyses within holding times at time of receipt? 1�eNo <br /> 8. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a ziplock ane 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): 5(,(37533 1 <br /> 2. Temp IR Gun ID #: i 1-41-�99 77 g �� <br /> 3. Were samples received on ice? No Temps: <br /> Acceptable is above freezing to 6°C. I y 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? �Y&& 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? �Ye No <br /> 2. Did bottle labels correspond with the client's ID's? Ye No <br /> 3. Were all bottles requiring sample preservation properly preserved? Ye No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No QUA <br /> 5. Have rush or project due dates been checked and accepted? Yes No N <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): <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 EHD <br /> (Please use the back of this sheet for additional comments or cc SM"436309 <br /> iv 0510712024 07:04:24 <br /> MM111111111111111 <br /> STK2436309 <br />