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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 ConditiogAJpon Receipt (Attach to COC)o?OY,07 <br /> Sample Receipt at: CC CH VI s <br /> 1. Number of ice chests/packages received: I 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 <br /> 7. Were all analyses within holding times at time of receipt? <1_0 No <br /> 8. Verify sample date, time and sampler name a No <br /> 9. Custody Seals intact? Yes No <br /> 10. Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: -� f <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): I t&Clr�! <br /> 2. Temp IR Gun ID#: 18) , ction Factor: �J [0 <br /> 3. Were samples received on ice? es No Corrected Temps: I I 1 <br /> Acceptable is above freezing to 6°C. If y packages are received at one time check for tes .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.) Ces No <br /> 6. Custody Seals intact? Yes No N/ <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? lamples <br /> No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL* <br /> [Exception:Oil&Grease,VOA and CM verified in lab] preserved in lab <br /> 4. VOAs checked for Headspace? Ye No <br /> 5. Have rush or project due dates been checked and accepted? Y No <br /> 6. Were all analyses within holding times at time of receipt? a No <br /> Attach labels to the containers and include a copy of the COC for labelive y. <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 /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: -^N>>mber: <br /> Initiated By: (3017 <br /> Problem: 919) <br /> San J08 quCoynfyResolution: M <br /> (Please use the back of this sheet for additional commf <br /> iv 09124/202615:50:44 <br /> s��IIII�E�III�((F(jf111f[((,llf►1 <br /> .iY?55ot ��Jll�f Irl <br /> s� <br />