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FGL Environmental Doc ID:3DO900002_SOP_12-I.DOC Revision Date: 10/09/14 Page 1 of 1 Inter-L atory Condition Upon Receipt (Attach to COC) 41,011Al Sample Receipt at: ST CC CH VI 1. Number of ice ches s/packages received: Shipping tracking# 2. Were samples received in a chilled condition? Temps: Jr-$ / / / / Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10'C,whether iced or not, should be flagged unless the time since sample collection has been less than two hours. 3. Do the number of bottles received agree with the COC? No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No 5. VOAs checked for Headspace? @ No N/A 6. Were sample custody seals intact? Yes No 7. If required, was sample split for pH analysis? Yu No / 8. Were all analyses within holding times at time of receipt? Wcs J No 9. Verify sample date, time and sampler nameTesamples. No th Sign and date the COC,place in a ziplock and put m ame ice chest as Sample Receipt Review completed by (initials): Sample Receipt at SP: 1. Were samples received in a chilled condition? Temps: Acceptable is above freezing to 60 C. If many packages are received at one time check r tests/H.T.'s/rushes/ 2. Shipping tracking numbers: 3. Do the number of bottles receiv agree wi h COC? Yes No N/A 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) No 5. Were sample custody seals intact? Yes Nolz ) N/A Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. Sample Verification, Labeling and Distribution: 1. Were all requested analyses understood and acceptable? No 2. Did bottle labels correspond with the client's ID's? Yes No 3. Were all bottles requiring sample preservation properly preserved? Yes No (2M5 FGL [Exception:Oil&Grease,VOA and CM verified in Iabl 4. VOAs checked for Headspace? < = No N/A 5. Have rush or project due dates been checked and accepted? Yes No N/ 6. Were all analyses within holding times at time of receipt? © No Attach labels to the containers and include a copy of the COC ab livery. Sample Receipt, Login and Verification completed by (initial Discrepancy Documentation: Any items above which are "No" or do not meet specifications (i.e. temps)must be resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: 2. Person Contacted: Initiated By: (3017919) Problem: San Joaquin County EHD Resolution: STK2135172 (Please use the back of this sheet for additional a aph 0411512021 16:36:19 contacts) III 11111111III Illlil Ilillll 11111 CTV71-17?