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FGL Environmental Doc ID: 3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> VA <br /> Inter-Laboratory Condi ' on Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: ( Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: UV <br /> ipp <br /> 3. Were samples received on tc Yes No Temps: ly f <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 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. es No <br /> 6. VOAs checked for Headspace? e No 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 Yes No <br /> Sign and date the COC,place in a ziplock and put in a same ice ches a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: �_ Shipping tracking#(s): <br /> 5(aor15S(03 l `7(v3 373 Colla Co7SS <br /> 2. Temp IR Gun ID #: Ao3 <br /> 3. Were samples received on ice? e No Temps:_ <br /> Acceptable is above freezing to 6°C. If m 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? e No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) es 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? a No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No Na FGL <br /> lException:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? 0e No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No 1SCA <br /> 6. Were all analyses within holding times at time of receipt? a 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): <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: (3017919) <br /> Resolution: San Joaquin County EHO <br /> (Please use the back of this sheet for additional comments or cot STK2431580 <br /> iv 02/011202415:47:08 <br /> D1 Il!Il II Il 11J11111111�1�1111�1�I <br /> STr241158P <br />