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FGL Environmental Doc ID: 3D0900002_SOP_12-3.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-M <br /> ory Condition Upon Receipt (Attach to COC) �S �Q <br /> Sample Receipt at• CC CH VI <br /> 1. Number of iceages received: ' Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 1�-9/ <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? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc No <br /> 5. VOAs checked for Headspace? es No N/A <br /> 6. Were sample custody seals intact? es No <br /> 7. If required, was sample split for pH analysis? No <br /> 8. Were all analyses within holding times at time of receipt? o <br /> 9. Verify sample date,time and sampler name e o <br /> Sign and date the COC, place in a ziplock and put int e same-i e c e 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 a received at one time check for stsM.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 733:7)7co <br /> 3. Do the number <br /> T��Ies receive' agree with the COC? e No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) es No <br /> 5. Were sample custody seals intact? Yes No <' <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? es No <br /> 2. Did bottle labels correspond with the client's ID's? Yes No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No ®FGL <br /> IException:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? es No N/A <br /> 6. Were all analyses within holding times at time of receipt? Yes No <br /> Attach labels to the containers and include a copy of the COb d very. <br /> Sample Receipt, Login and Verification completed by (initiaKM <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 /> -17, <br /> 2. Person Contacted: 30166081 <br /> Initiated By: I NOR p�}., <br /> Problem: L,�d� Oak.',G o�►En�r�onmeOR <br /> Resolution: 'r 1 ►' " <br /> T �e Cj n '�11 i <br /> (Please use the back of this sheet for additional com: <br /> contacts) apb 1010812020 16:18,21' <br />