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11 <br />FGL Environmental Doc ID: 3DO900002 SOP 10.DOC <br />Revision Date: 11/18/13 .. ^ Page 1 c f 1 <br />Inter -L tory Condition Upon Receipt (Attach to COC) /5(..312'% <br />Sample Receipt at: ST CC CH VI <br />I. Number of ice c7 <br />h packages received: Shipping tracking # i <br />2. Were samples received in a chilled condition? Temps: war- / / / / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I O° C, whether iced or aot, <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.)Ves <br />No <br />5. VOAs checked for Headspace? No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis?No <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time sampler Yes No <br />' <br />Sign and date the COC, place in a ziplock and put ame ice chest as a 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 6° C. if many packag are received at one time check for tests/H.T.'s/rushes/ <br />2. S ' ping �tracking l'ng numbers o a�(4 <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.) �Oes <br />No <br />5. Were sample custody seals intact? No (9/i) <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?l No N A 1 <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? Yes No /A <br />Attach labels to the containers and include a copy of the COC for lab delive <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: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional comme: <br />contacts) <br />(3-8692) <br />Forward Inc, <br />STK1439379 <br />SRP -0y/12/2014-11:28:27' <br />