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FGL Environmental <br />Revision Date: 11/18/13 <br />Doc ID: 3D0900002_SOP 10.DOC <br />r Page 1 of 1 <br />Inter -L tory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice ch packages received: l Shipping tracking # <br />2. Were samples received in a chilled condition? TempsA 1 <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 NIA <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.)fes <br />No <br />S. VOAs checked for Headspace? No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? Yea No N/ <br />8. Were all analyses within holding times at time of receipt? 02> No <br />9. Verify sample date, time sampler es No <br />Sign and date the COC, place in a ziplock and p m e same ice chest as amples. <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 man_ y� aca 'ved at one time check for test%M.T.'sh=hes/ <br />2. Shipping ac ' <br />`U UV <br />3. Do the n r 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. Were sample custody seals intact? es 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? No <br />2. Did bottle labels correspond with the client's ID's? No <br />3. Were all bottles requiring sample preservation properly preserved? t 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 *LA,,.' <br />Attach labels to the containers and include a copy of the COC for lab deh�. <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: <br />Problem: <br />Resolution: <br />2. Person Contacted: <br />Initiated By. <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional comments <br />contacts) <br />Date: <br />(3-8692) <br />Forward Inc. <br />STK14374®9 <br />SRP -07/23/2014-11:05:20 <br />