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FGL Environmental Doc ID: 3DO900002 SOF 1OMOC <br />Revision Date: 11/18/13 Page 1 of I <br />• s � <br />:Inter -La tory Condition Upon Receipt (Attach to COG) 1'�094,6 <br />Sample Receipt at: TK CC CH VI <br />1. Number: of ice ch ackages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: OOEI <br />Surface water SWTR bact samples: A sample that has a'temperature upon receipt of >IQ- 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 GOC?No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />S. VOAs checked for Headspace? Yes No <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 sampler es No <br />Sign and date the COC, place in a ziplock and put' same ' e chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: �— <br />I. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 60 C. If many packages are received at one time chat for r testsJH T.'shvshes! <br />2. Shipping tracking numbers: / 10/0707q7*1. —/- ,D/a®/07D 4?,?0 3Pr � <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.) kiND No <br />5. Were sample custody seals intact? No N/A <br />Sign and date the COC, obtain LIMB sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distributions <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(S FGL <br />4. VOAs checked forHeadspace? Yes No <br />S. Have rush or project due dates been checked and accepted? Yes No <br />Attach IabeIs to the containers and include a copy of the COC for lab d 'v <br />Sample Receipt, Login and Verification completed by (initials): <br />Discrepancy Documentation: <br />Any items above which are `Wo" 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: (3-8692) <br />Problem: Forward orward inc <br />(Please use the back of this sheet for additional commen S TK 14 3 8 5 6 6 <br />contacts) IV -08/22/2014-12:55:32 <br />