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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- tory Condition Upon Receipt (Attach to COC) �' 3-��� <br /> Sample Receipt 1ackages <br /> STK CC CH VI ' <br /> 1. Number of received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <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? No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? N/A <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put inWe <br /> ice ch a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: I <br /> Acceptable is above freezing to 66 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 55ao 15qu / 2L4 CoCa2 D <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? Yes No N,, <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? Ye No <br /> 2. Did bottle labels correspond with the client's ID's? e No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> (Exception:Oil&Grease,VOA and CrVt verified in labl <br /> 4. VOAs checked for Headspace? es No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? nNo v <br /> Attach labels to the containers and include a copy of the COC forab delivery. <br /> Sample Receipt, Login and Verification completed by (initials): Mrlc} <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: (3011544) <br /> Problem: Musce Family Olive EM110 0181 <br /> Resolution: <br /> Please use the back of this sheet for additional STU333396 e <br /> ( iv 03117!202313:25:09 _ <br /> contacts) Ha11�1�Q1010101011M <br />