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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 Condit' tr}�Tpon Receipt (Attach to COC)�`7ov <br /> Sample Receipt at: CC CH ( �// VI , <br /> 1. Number of ice chests/packages received: I Shipping tracking #(s): <br /> 2. Temp IR Gun ID#:TH319 <br /> 3. Were samples received on ice? Yes �N Temps:11a <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >l0°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? Y& No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) WIN No <br /> 6. VOAs checked for Headspace? No N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name es No <br /> Sign and date the COC, place in a ziplock and put ' the same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: �J W�� �7 0 <br /> 1. Number of ice chests/package received: C Shipping tracking#(s): <br /> 9/0 <br /> 2. Temp IR Gun ID #: zs7 <br /> ��'1.19 / <br /> 3. Were samples received on ice. Y)s No Temps: / G / / / / <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? �s No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) s 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? e No _ �� ll <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No ', ' FGL <br /> [Exception:Oil&Grease,VOA and CrV1 verified in lab] <br /> 4. VOAs checked for Headspace? Ye No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No 'PIIS <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� dellive <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: - - <br /> Resolution: (3011919) <br /> San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or coc SM051861 <br /> iv 1112012025 07:37:12 <br /> ul OIII�IIIlIIIIIIIIIIIIIIIIII tlllll <br />