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FGL Environmental <br />Revision Date: 11/18/13 <br />Doc ID: 3D0900002 SOP 10MOC <br />Page 1 of 1 <br />Inter -La tory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: TK CC CH VI <br />1. Number of ice ch packages received: / Shipping tracking # <br />2. Were samples received in a chilled condition? , Temps: /69Z/ <br />Surface water SWTR tact 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 <br />N/A <br />I& <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />No <br />5. VOAs checked for Headspace? <br />Yes No <br />6. Were sample custody seals intact? <br />Yes No <br />7. If required, was sample split for pH analysis? <br />Y No <br />8. Were all analyses within holding times at time of receipt? <br />No <br />9. Verify sample date, time samplerNo <br />jVemples. <br />Sign and date the COC, place in a ziplock and put ' s e ice hest <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: / T / ? / I / f <br />Acceptable is above freezing to 5° G if many packages are received at one timecheck for tests/H.T.'shvshest <br />Shi�pingtracktngnum ®t ► ��►u ��3 '. �a��r -��n ��lown <br />i M,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.) No <br />5. Were sample custody seals intact? No N/A <br />Sign and date the COC, obtain LIMB sample numbers, select methodsJtesis 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? No N/A FGL <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? Yes No <br />Attach labels to the containers and include a copy of the COC for 1 <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: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional comments <br />contacts) <br />(3-8692) <br />Forward Inc, <br />IV -08/07/2014-10:43:38 <br />