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N/A <br />N/A <br />1.Shipping tracking #(s): <br />FGL <br />1. <br />(Please use the back of Illis sheet tor additional comments or < <br />4. <br />5. <br />6. <br />7. <br />8. <br />2. <br />3. <br />4. <br />5. <br />4. <br />5. <br />6. <br />2. <br />3. <br />FGL Environmental <br />Revision Date: 10/10/23 <br />Person Contacted: <br />initialed By: <br />Problem: <br />Resolution: <br />Person Contacted: <br />Initialed By: <br />Problem: <br />Resolution: <br />No <br />No <br />No <br />No <br />No <br />No <br />1. <br />2. <br />3. <br />TemplR Gun 1D#:TH318 <br />Were samples received on ice? / <br />Surface water SWTR bact samples: A si <br />Doe ID: 3D0900002_SOP_14.doc <br />Page 1 of 1 <br />Receipt (Attach to COC) <br />VI <br />Shipping tracking "(s): <br />Phone Number: <br />Date’ <br />(3018570) <br />Carol Franzia <br />STK2633®21 <br />mdc 03/04/2026 17:00:19 <br />MflHill <br />st. <br />Sample Receipt at: <br />I. <br />No <br />No <br />No <br />gSc? No <br />' No <br />A.cs <br />Yes <br />Inter-Laboratory Condi0on>Vpon <br />CC CH <STK <br />Number of ice chesls/packages received:l <br />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />VO As checked for Headspace? <br />Were all analyses within holding limes at time of receipt? <br />Verify sample dale, time and sampler name ‘ <br />Sign and dale the COC. place in a ziplock and put in tho'snr <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />Number of ice chesls/packages received: <br />TemplR Gun ID#: \ /. <br />Were samples received on ice? . Ye) No Temps:!!I / <br />Acceptable is above freezing to 6°C. Ir«ntn\ packages arc retch cd at one time check for tests I I.T.'s rushes/ <br />Do the number of bottles received agree with the COC? No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />Sign and date the COC. obtain L1MS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client's ID's? <br />Were all bottles requiring sample preservation properly preserved? <br />(Exception: Oil & Grease. VOA and CrVI verified in lab| <br />VO As checked for Headspace? <br />Have rush or project due dates been checked and accepted? <br />Were all analyses within holding times al time of receipt? <br />Attach labels to the containers and include a copy of the COC for lab dclivEryT <br />Sample Receipt. Login and Verification completed by (initials): <br />Discrepancy Documentation: <br />Any items above which arc "No" or do not meet specifications (i.e. temps) must be resolved. <br />Phone Number: <br />Dale: <br />v Yes/' No Temps: //// <br />sample that has a temperature upon receipt of >10° C, whether iced or not. <br />should be flagged unless the lime since sample collection has been less than two hours. <br />cSs^1 <br />(yes J <br />.me ice chest as the samples.