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FGL Environmental Doc ID: 3DO900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: T CC l CH VI <br /> 1. Number of ice c s/packages received: I Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: a q/go:� / <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I0'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.) No <br /> 5. VOAs checked for Headspace? No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC,place in a ziplock and put i e same ice chest 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: <br /> Acceptable is above freezing to 6j4 C. If any pack ges are received at one time check for tests/H.T.'s/rushes/ <br /> 2. S ' pin trackin um ers: I � <br /> 0 I (. 1 <br /> 3. Do the number of bottles re Lived agree with the COC? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Pes <br /> No <br /> 5. Were sample custody seals intact? No /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? N <br /> 2. Did bottle labels correspond with the client's ID's? Yes <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No 10/ FGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? No N/A <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> Attach labels to the containers and include a copy of the COC for lab deliver <br /> Sample Receipt, Login and Verification completed by (initials): <br /> Discrepancy Documentation: <br /> Any items above which are ``No" or d n t meet specifications (i.e. temps) must be r o ve <br /> 1. Person Contacted: M ct Phone N bg <br /> Initiated By: Date: <br /> Problem. ((�� (�, FO <br /> Resolution` �� "1' 6 <br /> yo <br /> 2. VAon o tatted: +=�- <br /> Initiated By: <br /> Problem: <br /> Resolution: -" <br /> ,... . ., <br /> � N <br /> '- - - - fiber here <br /> (Please use the back of this sheet for additional <br /> contacts) <br />