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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 ' pon Receipt (Attach to COC} �1 ✓�L� <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages receive Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: J <br /> 3. Were samples received on is Yes o Temps. <br /> Surface water SWTR batt samples: p e that has a temperature upon receipt of >I 0*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? 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 a same ice ches amples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: I&2.� <br /> 3. Were samples received on ice? Y� 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 NIA <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Y-asr 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? QLes No <br /> 2. Did bottle labels correspond with the client's ID's? )�ee No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No C/ FGL <br /> lException:Oil&Grease,VOA and CM verified in lab/ <br /> 4. VOAs checked for Headspace? es No N/A <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 delivery. <br /> Sample Receipt, Login and Verification completed by (initials): lnX <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 CountyEHD <br /> (Please use the back of this sheet for additional comments or coy STK2437461 <br /> cda 05123/2024 09:06:03 <br /> ��11111f it llllll�llllllll�llll�ISI I� <br /> RTV114170R1 <br />