Laserfiche WebLink
FGL Environmental Doc ID: 3DO900002_SOP_14.doc <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit i pon Receipt (Attach to C0QCA03CA5(PI <br /> Sample Receipt at: CC CH T 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? es No Temps: `J <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? (�D No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) (ge No <br /> 6. V OAs checked for Headspace? <br /> No Q!/JA <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name a No <br /> Sign and date the COC, place in a ziplock and put. the same ice chest as t samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): yl/7 7 3 / <br /> 2. Temp IR Gun ID#:-, Nu S <br /> 4 <br /> � <br /> 3. Were samples received on ice? e No Temps: <br /> Acceptable is above freezing to 6°C. If 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? 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? es <br /> 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 Nof/A <br /> FGL <br /> (Exception: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? Yes No <br /> 6. Were all analyses within holding times at time of receipt? No <br /> Attach labels to the containers and include a copy of the COC for lab delives <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: (3017919) <br /> Problem: <br /> Resolution: San Joaquin CountyEHO <br /> STK2632561 <br /> (Please use the back of this sheet for additional comments or contz iv 02124/2026 07:45:44 <br /> �I[EI[l l[E[Ef[�[lI[IIIEI[EIIE[II N[' <br /> �TY.2tiS35E1 __ _ � <br />