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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 Condpon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH S VI <br /> 1. Number of ice chests/packages receive 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 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 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? 4 No N/A <br /> 7. Were all analyses within holding times at time of receipt? a No <br /> 8. Verify sample date, time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in the ame 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): <br /> 2. Tem IR Gun ID#: C j Cl 1 Ll �� -7/ a 02 -7 <br /> Temp <br /> 3. Were samples received on ice? Ye No Temps: <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/li.T.'s/rushes/ <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.) es 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? fe�ss <br /> 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 16 FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Ye 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? fes 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):Ml <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 Numher! <br /> Initiated By: (3017919) <br /> R sboo luti.n• San Joaquin County EHD <br /> STK2437707 <br /> (Please use the back of this sheet for additional comments or cda 05/291202416:59:31 <br /> p111111�111�11111111111111�I111I�1 <br /> crv�e•»ems <br />