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FGL Environmental Doc ID: 2D2600009_SOP_15.DOC <br /> Revision Date:08/18/26 Page 1 of 1 <br /> Inter-Laboratory Condit' pon Receipt (Attach to COC) a09--5 40 <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: TH319 Correction Factor: -0•2 <br /> 3. Were samples received on ice? Yes No Corrected Temps: <br /> Surface water SWTR bact samples:A sample 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 hours. <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? Yes No ER) <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name CYe No <br /> 9. Custody Seals intact? Yes No <br /> 10. Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: Is a <br /> Y <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: ZWCorrection Factor: IW- �S y <br /> 3. Were samples received on ice? Jy <br /> No CorrectedTemps:Acceptable is above freezing to 6°C. packages are received atone time check for tes .T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? W No N/A <br /> 5. Were samples received intact? (i.e.no broken bottles, leaks etc.) No <br /> 6. Custody Seals intact? (e No N/A <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? a No <br /> 2. Did bottle labels correspond with the client's ID's? a No <br /> 3. Were all bottles requiring sample preservation properly preserved? Y No N/A FGL* <br /> [Exception:Oil&Grease,VOA and CM verified in lab] *Samples preserved in lab <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Y No SrN <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 for lab delivery. <br /> Sample Receipt,Login and Verification completed by(initials): <br /> _ A9(Z <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: San Joaquin CountyEND <br /> (Please use the back of this sheet for additional t <br /> STP653343 <br /> iv 0910412026 09:22:23 —� <br /> [N[[I LI{I{L{II[�[{lll{L�IIILI{Illl{II <br /> STK?FSSZ4t <br />