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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 CondFS <br /> n Receipt (Attach to COC} <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages receivhipping tracking#(s): , <br /> 2. Temp IR Gun ID#. VOW- <br /> 3. Were samples received on is Yes o Temps:q) <br /> p p <br /> Surface water SWTR bact samples: a 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 thanJte <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 etcNo <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 same ice chmples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: � &1 S gg 3k � <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): 5 <br /> I1q <br /> 2. Temp IR Gun ID #: � <br /> 3. Were samples received on ice. Ye No Temps: <br /> o <br /> Acceptable is above freezing to 6T. 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? W-ea' No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) tes) 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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No �,Yk FGL <br /> [Exception:Oil&Grease,VOA and CM verified in!ab] <br /> 4. VOAs checked for Headspace? �s� No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No N/ <br /> 6. Were all analyses within holding times at time of receipt? Yes 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): �_ <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 cc STU439002 <br /> iv 06/19/2024 07:53:22 <br /> STK2439002 <br />