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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 Conditi pon Receipt (Attach to COC)0 (03 aF53 <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? O No Temps:jjA <br /> Surface water SWTR bact samples: A sample that I 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 wi th the COC? No N/A <br /> 5. Were samples received intact? (i.e. no bro en bottles, leaks etc.) §e!s No <br /> 6. VOAs checked for Headspace? 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 namea No <br /> Sign and date the COC,place in a ziplock and p t i the same ice chest as samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: 7 <br /> 1. Number of ice chests/packages received: 7 Shipping tracking#(s): S(L1IY SDI L <br /> 2. Temp IR Gun ID #: J,7& (� /9 F yg� <br /> 3. Were samples received on ice? Ye No Temps: 1 L / / / / <br /> Acceptable is above freezing to 6°C. INFAy 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 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 nut nbers, select methods/tests and print labels. <br /> Sample Verification,Labeling and Distributi n: <br /> 1. Were all requested analyses understood an acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? fess <br /> No <br /> 3. Were all bottles requiring sample preserva 'on properly preserved? No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Y No <br /> 6. Were all analyses within holding times at t me of receipt? es No <br /> Attach labels to the containers and include a cop of the COC for lab delivery. <br /> Sample Receipt, Login and Verification complet d by (initials): N—L <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: -i1 -- <br /> Problem: (3017919) <br /> Resolution: San Joaquin County EHO <br /> (Please use the back of this sheet for additional comments or co STK2632853 <br /> is 03/0u212026 15:53:20 <br /> III IIIIIIIIIIIIIIIIIIIIIIIIIIIIII[III <br />