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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 Conditioi pon Receipt (Attach to COC)d(059 g57 <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #:TH319 <br /> 3. Were samples received on ice? & No Temps: <br /> Surface water SWTR bact samples:A sample that t as 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? No N/A <br /> 7. Were all analyses within holding times at t me of receipt? Yes No <br /> 8. Verify sample date, time and sampler namea No <br /> Sign and date the COC,place in a ziplock and p t 'n the same ice chest as t samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: 56q/y s o7"_- <br /> 1. Number of ice chests/packa received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #:44?v es 1 y 1z 1 <br /> 3. Were samples received on ice? Yes No Temps: (. C / / <br /> Acceptable is above freezing to 6°C. If many packages are received atone time check for tests/H.T.'s rushes/ <br /> 4. Do the number of bottles received agree wi th the COC? Lk No N/A <br /> 5. Were samples received intact? (i.e. no bro en bottles, leaks etc.) No <br /> Sign and date the COC,obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification, Labeling and Distribute n: <br /> 1. Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the clien 's ID's? es No �,��� <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes Now FGL <br /> (Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? LYes/ No N/A <br /> 5. Have rush or project due dates been checkt d and accepted? Yes No <br /> 6. Were all analyses within holding times at t me of receipt? Yes No <br /> Attach labels to the containers and include a cop of the COC for lab delivery. <br /> Sample Receipt, Login and Verification comple d 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: San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or c ntac ap STK2632854 <br /> iv 031021202615:53:15 <br /> III IIIIIIIIIIIIIIIIIIIIIIIII <br /> 9Y?E `BSA <br />