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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 Conditi pon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH T VI <br /> 1. Number of ice chests/packages received: I Shipping tracking#(s): ' <br /> 2. Temp IR Gun ID#: 10,4wrib6• .1 <br /> 3. Were samples rece' ed n ice? �es No Temps: <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >101 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.) Yes No <br /> 6. VOAs checked for Headspace? Ye 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 Yes No <br /> Sign and date the COC,place in a ziplock and put in t ame 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: Z Shipping tracking#(s): 5(0/S-76-;5G <br /> 2. Temp IR Gun ID#:Tlt-11h <br /> 3. Were samples received on ice? � No Temps: <br /> p p <br /> Acceptable is above freezing to 6°C. If many 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? Yes No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) yex 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? Y� No <br /> 2. Did bottle labels correspond with the client's ID's? Yeses No <br /> 3. Were all bottles requiring sample preservation properly preserved? kgs, No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No W�A <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? ,Yje 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): 145,c- <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 CountyEHD <br /> (Please use the back of this sheet for additional comments or conta ST'I'U"438833 <br /> iv 0611412024 06:43:40 <br /> III I�Illllll�llla�lllllallll�l(Il <br /> sTK2a3M3 <br />