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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-2.DOC <br />Page 1 of 1 <br />Inter-Ltory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: ST CC CH VI <br />1. Number of ice chests/packages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? 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 />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 No <br />5. VOAs checked for Headspace? es No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? V&= No <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name Fesamples. <br />No <br />Sign and date the COC, place in a ziplock and put * t e ice chest as t <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: I <br />1. Were samples received in a chilled co dition? Temps: <br />p p <br />Acceptable is above freezing to 6 G) C. If m packages are receive a, one time check for tests/H.T.'s/rushes/ <br />2. Shipping <br />tracking Rottles <br />e '' �1 <br />3. Do then received agree with the COC? �� 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 />CN A - <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? 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 labl <br />4. VOAs checked for Headspace? Yes No RX, <br />5. Have rush or project due dates been checked and accepted? No Nl <br />6. Were all analyses within holding times at time of receipt?Yes No <br />Attach labels to the containers and include a copy of the COC f r i ery. <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: Pbnne Ni,n�ha <br />Initiated By: (3017919) <br />Problem: San Joaquin County EHD <br />Resolution: <br />Please use the back of this sheet for additiol STK2137320 <br />( <br />contacts) apb 0512412021 16:37:11 <br />III IIIIIIIIISTK2I1I TSIIIIIIIIIIIIIII <br />here <br />