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FGL Environmental Doc ID:3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit' on Receipt (Attach to COQ0 C4 3-Z W <br /> Sample Receipt at: CC CH STK VI <br /> 1. Number of ice chests/packages receive Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? 9)No Temps:1q.0/ <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >I0°C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less than twis <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 N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in th same 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): <br /> 2. Temp IR Gun ID #: i7/U <br /> 3. Were samples received on ice? es No Temps: <br /> Acceptable is above freezing to 6°C. If m 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? 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? s 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? Yes No FGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Y No <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 d,livery. <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: Phan N_ umber`_ <br /> Initiated By: (3017919) <br /> Problem: <br /> Resolution: San Joaquin County EHO <br /> STU432130 <br /> (Please use the back of this sheet for additional comments i law 021121202416:45:23 <br /> 111 I�Il Il Il I�11111 I I I l Il 11 l I)I l Il�1 <br /> STK243213e <br />