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FGL Environmental Doc ID: 3D0900002_SOP_12-11.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at- T C CH VI <br /> 1. Number of i hes es received: _Shippixng tracking# <br /> 2. Were samples received in a chilled condition? Temps: ,U / <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 /> 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 Yes 5No <br /> 5. VOAs checked for Headspace? es i 6. Were sample custody seals intact? Yes _ <br /> 7. If required, was sample split for pH analysis? <br /> 8. Were all analyses within holding times at time of receipt? O— amples. <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a ziplock and put ' t same ice c <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6"C. If many packages are received ak one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: '5 t IAr,1 r <br /> 1q-1 ( V5-T-o <br /> 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. Were sample custody seals intact? Yes No VLA <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? es No <br /> 2. Did bottle labels correspond with the client's ID's? )Cea No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No lie FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No V 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? ®e 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 /> 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: (s-16608 y <br /> Problem: �,1Ve, � ;� ��v^ `v'II" IM <br /> 6I2t � <br /> Resolution: 5 TK 1 9 3 7 1 4 7 <br /> (Please use the back of this sheet for additional commen <br /> IV-05/20/2019-16:32:53 <br /> contacts) <br />