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FGL Environmental Doc ID: 3DO900002_SOP_14.doc <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> 1 <br /> Inter-Laboratory Con M. , <br /> on Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages receive : Shipping tracking#(s): <br /> 2. Temp IR Gun ID#:TH319J <br /> 3. Were samples received on ice? Yes o Temps: I I I I <br /> Surface water SWTR bact samples: p e that has a temperature upon receipt of X10°C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less thanlase <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 /A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put i e e ice cheples. <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. Temp IR Gun ID#: 2 <br /> 3. Were samples received on ice? Ye No Temps: / I I 1 <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? No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) ee 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? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab/ <br /> 4. VOAs checked for Headspace? Yes No &NI 5. Have rush or project due dates been checked and accepted? Y No <br /> 6. Were all analyses within holding times at time of receipt? es 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): ^>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: Date: <br /> Problem: (3017919) <br /> Resolution: CountyEHD <br /> San Joaquin <br /> (Please use the back of this sheet for additional comments or ci STK2558203 <br /> iv 1210212025 07:01:20 <br /> �I[II II II[III[II[[I[IIIII{[ill[iIl{II <br />