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FGL Environmental Doc ID:3D0900002_SOP_12-10.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La toryCondition Upon Receipt (Attach to COC) 11�b 551 <br /> Sample Receipt at:Z-STV CC CH VI <br /> 1. Number of icfiCgpackages received: _Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: A31 / <br /> Surface water S WTR batt 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 twohours. <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc. No <br /> 5. VOAs checked for Headspace? No N/A <br /> 6. Were sample custody seals intact? es No <br /> . If required, was sample split for analysis? No <br /> 8ti <br /> 8. Were all analyses within holding times at time of receipt? a No <br /> 9. Verify sample date, time and sampler name es No <br /> Sign and date the COC, place in a ziplock and put 1 e ame ice c est as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: _g/ -�?—/ 313 <br /> 1 <br /> Acceptable is above freezing to 6Q C. 1 any packages are rete: ed at one time c � <br /> heck for to l H.T.'s/mshes/ <br /> /eCOC9. <br /> !f l <br /> 2. Shippigg tracking numbers: W� <br /> vtdq <br /> 3. Do the nttm er o bottles received agree with t ® No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) ® No <br /> 5. Were sample custody seals intact? 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 /> I. 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? Yes No N! FGL <br /> IEzception:Oil&Grease,VOA and CrVI verified In labl <br /> 4. VOAs checked for Headspace? < es No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? <::1!D No <br /> Attach labels to the containers and include a copy of the COC f b elivery. <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: "` - """ ' <br /> Initiated By: (3-16273) <br /> Problem: Mar Val Stables <br /> Resolution: <br /> STEK1930551 <br /> (Please use the back of this sheet for additional comments o. IV-01/10/2019-16:12:03 <br /> contacts) <br />