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FGL Environmental <br />Revision Date: 11/18113 <br />Doc ID: 3DO900002 SOP_10MOC <br />Page 1 I f 1 <br />Inter- tory Condition Upon Receipt (Attach to COC) 1,1 96',0J <br />Sample Receipt at: ST CC CH VI <br />1. Number of ice cheststpackages received: / Shipping tracking # I <br />2. Were samples received in a chilled condition? Temps: /,W— <br />Surface <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? <br />No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />Y <br />No <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 / <br />8. Were all analyses within holding times at time of receipt? <br />No <br />9. Verify sample date, time sampler Yes No <br />Sign and date the COC, place in a ziplock and put in a 'ce 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: ! / f / / / _ <br />Acceptable is above freezing to 6° C. If many packages are received at orte time check for testslH.T.,ZShest <br />2. Shipping tracking numbers: T1L!016T 1 V37q q` q -f-- TIA/Aull(OT <br />3. Do the number of bottles received agree with the COM) 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 LIMS sample numbers, select methodshesis and print labels. <br />Sample Veriilcation, 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? es No N/A <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 la <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 comar. <br />contacts) <br />Date: <br />Phone Number. <br />v <br />v <br />(3-8692) <br />Forward Inc, <br />STK1439603 ; � <br />IV -09/19/2014-10:36:31' <br />