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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 Condit' Fon Receipt (Attach to COQ <br /> Sample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID <br /> 3. Were samples received on ice? Yes No Temps:/ <br /> Surface water SWTR bact samples:A sa 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 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.) No <br /> 6. VOAs checked for Headspace? VNo <br /> o �� <br /> 7. Were all analyses within holding times at time of receipt? o <br /> 8. Verify sample date, time and sampler name <br /> Sign and date the COC,place in a ziplock andput ' fthsame 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: Shipping tracking#(s): S&1 �- <br /> 2. Temp IR Gun ID #: 07-b, ( , <br /> 3. Were samples received on ice? ' 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? 4�a& No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Ye:� 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? Yes No <br /> 2. Did bottle labels correspond with the client's ID's? Y-s' No <br /> 3. Were all bottles requiring sample preservation properly preserved? �Ye No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No Q9/_A <br /> 5. Have rush or project due dates been checked and accepted? . Yes No NLA <br /> 6. Were all analyses within holding times at time of receipt? Y-W 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: _ - --- -- - - (3017919) - - <br /> Resolution: <br /> San Joaquin County EHO <br /> (Please use the back of this sheet for additional comments or con ST'M"'436727 <br /> iv 0511112024 07:33:13 <br /> III 1111111111111111a1111111111111�1111 <br /> STK2436727 <br />