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FGL Environmental Doc ID:3D0900002_SOP_10.DOC <br /> Revision Date: 11/18/13 Page 1 of 1 <br /> 9� <br /> Inter-L tory Condition Upon Receipt (Attach to COC) I`� 7 <br /> Sample Receipt at: (Sw CC CH VI <br /> 1. Number of ice chests/packages received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition?.Temps-/2�/ <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of ;10°C,whether iced or not, <br /> should beftaggedunless-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? kZ) No NLA <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required,was sample split for pH analysis? Y No / <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time sampler Yes No <br /> Sign and date the COC,place in a ziplock and pu ' e same ice chest as the 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 packages are received t one time check for tests/H.T.'slrushes/ <br /> 2. Shipping tracking number <br /> 3. Do the number o bottles received agree with the CO ? No N/A <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) No <br /> 5. Werd'sample custody seals intact? Yes No fA <br /> Sign and date the COC,obtain LIMS sample numbers,select methods/tests and print Iabe . <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? Y No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for Headspace? No N/ <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 lab delivery. <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: (3-11544) <br /> Initiated By: <br /> Problem: Masco Family Olive Environmental <br /> Resolution: STK 14 3 5 9 3 7 <br /> (Please use the back of this sheet for additional coma SRP-06/18/2014-11.51.15 <br /> contacts) ' <br />