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FGL Environmental Doc ID: 3DO900002 SOP 12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La tory Condition Upon Receipt (Attach to COC) /'S�AgW <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ch packages received: / Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:n T-/ <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of>1 0 CC,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 N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? gesNo <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No /A <br /> 8. Were all analyses within holding times at time of receipt? ee <br /> No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put a ice chest amples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt;it SP: <br /> 1. Were samples received in a chilled condition? Temps: S /-/ <br /> Acceptable is above freezing to 6+4 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 1- f t?3C}S05Z(1P0) <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.) No <br /> 5. Were sample custody seals intact? e No N/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? Yes No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? e No <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> Attach labels to the containers and include a copy of the COC for la el' <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. temp's)must be resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: (3-11544} <br /> Initiated By: MUSCO Family Olive Environmental <br /> Problem: C <br /> Resolution: STK 14 5 3 0 8 7 <br /> (Please use the back of this sheet for additional comme IV-01/05/2015-13:37:45 •e <br /> contacts) <br />