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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 Conditio pon Receipt (Attach to COC) <br /> Sample Receipt at: CC CHVI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID Wve <br /> 3. Were samples recon ice? CYe;s No Temps: <' <br /> Surface water SWTR bact samples:A 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? es No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? es 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 Yes No <br /> Sign and date the COC, place in a ziplock and put in theeA 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: 3 Shipping tracking#(s): <br /> co ► L-1C1l y S3 � �1 �3 � a &7� <br /> 2. Temp IR Gun ID #: a(03 <br /> 3. Were samples received on ice? wee No Temps: 3 <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? Yoe No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yez 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? Ves No <br /> 2. Did bottle labels correspond with the client's ID's? T&s No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No ItfA FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Y(e No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No ISCA <br /> 6. Were all analyses within holding times at time of receipt? )�fs 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): C�/-�- <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: - - <br /> Problem: (3017919) <br /> Resolution: San Joaquin County EHO <br /> J <br /> (Please use the back of this sheet for additional comments or cc STU437719 <br /> cda 05129/2024 17:0 <br /> �I I�I111111�1IlUIlIllDllllfl111�1 <br /> CTv9w'e'1'f.o <br />