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FGL Environmental <br />Revision Date: 11/18/13 <br />Doc ID: 3D0900002 SOP_10.DOC <br />Page 1 of 1 <br />Inter -L 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: /ZV / <br />Surface water SWTR tact samples: A sample that has a temperature upon receipt of >100 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 />12�No <br />N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />5. VOAs checked for Headspace? <br />Yes <br />No <br />6. Were sample custody seals intact? <br />Yes <br />No <br />7. If required, was sample split for pH analysis? <br />Yes <br />No /A <br />8. Were all analyses within holding times at time of receipt? <br />No <br />9. Verify sample date, time sampler <br />� <br />lam'' <br />No <br />Sign and date the COC, place in a ziplock and put4albe 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: 314 <br />Acceptable is above freezing to 6° C. If many packages arc receival at one time check for testsOM.T.'strushes/ <br />2. Shipping tracking numbe : <br />�'�o'a,�1f3�tQ�fllI1010(�G�133, `DI(1�1U(��75Z713 <br />3. Do the number of bottles received agree with the COC? Y 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 L54S 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? es No <br />3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br />4. VOAs checked for Headspace? 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 lab e <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: (3-8692 ) <br />Resolution: Forward Inc, <br />(Please use the back of this sheet for additional corm STK 14 3 65 6 2 <br />contacts) IV -07/03/2014-11:42:09 <br />,e] <br />