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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 Con ' 'on on Receipt (Attach to COC} A&tot <br /> Sample Receipt at: CC CH TK VI <br /> 1. Number of ice chests/packages receivea: Shipping tracking#(s): <br /> 2. Temp IR Gun ID#:TH319 <br /> 3. Were samples received on is Yes o Tem s. 1 <br /> p p <br /> Surface water SWTR bact sampl • that has 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 ho <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.) Yes No <br /> 6. VOAs checked for Headspace? N NIA <br /> 7. Were all analyses within holding times at time of receipt? es No <br /> 8. Verify sample date, time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put i t e ice chest as t e samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> Shipping tracking#(s}: '7���gys <br /> 1. Number of ice chests/packages received: 7 y/ <br /> 2. Temp IR Gun ID #: J <br /> Zb <br /> 3. Were samples received on i e? DYe No Temps. L I 1 I I <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.) 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? Ye No N/A FGL <br /> lException:Oil&Grease,VOA and CM verified in lab) <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No N/ <br /> 6. Were all analyses within holding times at time of receipt? J Ye No <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): )ASL <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: in CountyEHD <br /> San Joaqu <br /> (Please use the back of this sheet for additional comments or coy STU636375 <br /> iv 051051202616:15:46 <br /> STK2676575 <br />