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FGL Environmental Doc ID: 3D0900002_SOP_14.doc <br /> Revision Date: 10/10/23 Page I of 1 <br /> Inter-Laboratory Con ' o on Receipt (Attach to COC) <br /> Sample Receipt at: CC CH TK VI <br /> 1. Number of ice chests/packages receive : Shipping tracking#(s): ' <br /> 2. Temp IR Gun ID#:TH319 (� <br /> 3. Were samples received on is aam <br /> o Temps. <br /> Surface water SWTR bact samplesthat 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 rh <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? es o NIA <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put ' t same ice chest a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: � ) MOS5/ <br /> 1. Number of ice chests/packages received: Shi in trackin # • `� � <br /> Shipping g �`'� <br /> 2. Temp IR Gun ID#: Iq -� / /73 <br /> 3. Were samples received on ice. Yes No Temps: <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? I' No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yes 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? s No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No RA <br /> 5. Have rush or project due dates been checked and accepted? Ees <br /> No A <br /> 6. Were all analyses within holding times at time of receipt? No <br /> Attach labels to the containers and include a copy of the COC fo e 'very. <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 /> jl. 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: San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional comments or cc STU651482 <br /> iv 0810512026 07:2 <br /> III([I[I III ll I I I[I[111I II I[[I I I I Il[[I[ll <br /> __$TK2651482 __ <br />