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II <br /> FGL Environmental Doc ID:3DO900002_�S P 14.doc <br /> Revision Date: 10/10/23 age 1 of 1 <br /> Inter-Laboratory Condit' on ReceiptC 59� <br /> Attach to C <br /> ) 7 <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2 Temp <br /> IR Gun ID #:TH319 <br /> 3. Were samples received on ice? Yes No Temps:,�,'S <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >10 C,VJheth r i e I�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 Nb N11 <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye N <br /> 6. VOAs checked for Headspace? Yes N CIS <br /> -f-vAD <br /> 7. Were all analyses within holding times at time of receipt? <br /> 8. Verify sample date,time and sampler name Aes <br /> Sign and date the COC,place in a ziplock and put the s e ice chest pl <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packa es received: Shipping tracking#(s): S(o ,t01 lo c/ <br /> 2. Temp IR Gun ID #.-T 1`Q-ly �-Z-(a <br /> 3. Were samples received on ice? Ye No Temps. <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for to /H;T. s&6 e <br /> 4. Do the number of bottles received agree with the COC? o Nh ` <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) 5an <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/testpn, lab 1 . <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? o <br /> 2. Did bottle labels correspond with the client's ID's? :1b <br /> 3. Were all bottles requiring sample preservation properly preserved? fes I <br /> , 0 N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes o /A <br /> 5. Have rush or project due dates been checked and accepted? Yes b <br /> 6. Were all analyses within holding times at time of receipt? es; o <br /> Attach labels to the containers and include a copy of the COC for lab deliv <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) mu t be eso v d <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 /> Pr <br /> oblem: (30qu��� �u I 17 19) <br /> yfllResolution: San JQa � <br /> (Please use the back of this sheet for additional comments or ci, <br /> iv 10115[120 5 5,,0 : :1 a <br /> Ili <br /> srti . sar i <br /> li i I <br />