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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 Con ' ion on Receipt (Attach to COC) A#-;y <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: �_ Shipping tracking#(s): <br /> v <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? Yes No Temps:qo <br /> I / / I <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 tw <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? N N/A <br /> 7. Were all analyses within holding times at time of receipt? s No <br /> 8. Verify sample date,time and sampler name es No <br /> Sign and date the COC,place in a ziplock and put in a ame ice c1hese samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: - Shipping tracking#(s): �Z 9 (D <br /> 2. Temp IR Gun ID#. <3. Were samples received on ice? 2KNo 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? �Y No NIA <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) %-YA 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? No <br /> 2. Did bottle labels correspond with the client's ID's? (Yes/ No <br /> 3. Were all bottles requiring sample preservation properly preserved? kyes No N/A FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No �N/)A <br /> 5. Have rush or project due dates been checked and accepted? Yes No l T <br /> p J P L� <br /> 6. Were all analyses within holding times at time of receipt? e s 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): M'*5C <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 County EHD <br /> (Please use the back of this sheet for additional comments or cont STU439003 <br /> iv 06/19/2024 07:53:11 <br /> f 11 Ill o II IIIII[Ill[I�IIII[ll(II IQ III <br /> STV241%03 <br />