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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 Con o on Receipt (Attach to COC) A*51q � <br /> Sample Receipt at: CC CH S VI <br /> 1. Number of ice chests/packages received: ! Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on iceae <br /> No Temps: / <br /> Surface water SWTR bact samples: hat hasa temperature upon receipt of >I0°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. Yes No <br /> 6. VOAs checked for Headspace? es No N/A <br /> 7. Were all analyses within holding times at time of receipt? Yes 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 the a ice chest as the samples. <br /> Sample Receipt Review completed by initials): <br /> Sample Receipt at SP: 5&13111q() <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #.7-14Z&5 1-7 00 V3�D <br /> 3. Were samples received on ice? JYe 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? QYes No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Q� 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? \Xmp No <br /> 2. Did bottle labels correspond with the client's ID's? (Yev No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No 4�!/p FGL <br /> lException:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Ycsi 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? Y� No <br /> Attach labels to the containers and include a copy of the COC for la elivery. <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 CountyEHD <br /> (Please use the back of this sheet for additional comments or cont< STK2451928 <br /> law 08/131202416:43:54 <br /> U11111111111111111111 <br /> STK2451928 <br />