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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 Condi#on=kjpon Receipt (Attach to COC)46JI447 1 <br /> Sample Receipt at: CC�' CH C,SS� VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID#:TH319 <br /> 3. Were samples received on ice? Yes No Temps:�- � / <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 two hours. <br /> 4. Do the number of bottles received agree with the COC? C D No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? Yes No N/ <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name s No <br /> Sign and date the COC,place in a ziplock and put in th 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: LL Shipping tracking#(s) 7 <br /> 2. Temp IR Gun ID#: '2(o I <br /> 3. Were samples received on ice? be No Temps: <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? No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ve <br /> No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? es No <br /> 2. Did bottle labels correspond with the client's ID's? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No /A <br /> 5. Have rush or project due dates been checked and accepted? Yes No A <br /> 6. Were all analyses within holding times at time of receipt? jP�s No <br /> Attach labels to the containers and include a copy of the COC for lab delive <br /> Sample Receipt, Login and Verification completed by (initials): Ma <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: - - - <br /> Problem: (3017919) <br /> Resolution: San Joaquin County EHD <br /> STK2631247 <br /> (Please use the back of this sheet for additional comments or c iv 01/29/2026 12:48:42 <br /> 11111liqlp�����������������I���� <br />