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FGL Environmental Doc ID: 3DO900002_SOP_12-3.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 ' <br /> Inter-Ltory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: ST CC CH VI <br /> 1. Number of ice chests/packages received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:6 ;Z-,/ <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? Oes <br /> No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? (9� No <br /> 9. Verify sample date,time and sampler nameYes No <br /> Sign and date the COC, place in a ziplock and put ig-th--g-'sVine 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 man/with <br /> are received at one timZchecck,, tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 3. Do the number of bottles received agrhe 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 <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? e 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 labs <br /> 4. VOAs checked for Headspace? Yes No <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? < es No <br /> Attach labels to the containers and include a copy of the COCb ery. <br /> Sample Receipt, Login and Verification completed by (initial4l <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: Phone Number: <br /> Initiated By: (3017919) <br /> Problem: <br /> Resolution: San Joaquin County EHD <br /> (Please use the back of this sheet for additional STK2133009 re <br /> contacts) <br /> apb 03/03/2021 17:06:05 <br />