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FGL Environmental Doc ID: 3DO900002_SOP_12-3.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> r <br /> Inter-La tory Condition Upon Receipt (Attach to COC -402�3AZ <br /> Sample Receipt at: STK) CC CH VI <br /> 1. Number of ice ches s packages received: Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: &.,5 <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? ' Yes No N/A <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? No <br /> 9. Verify sample date, time and sampler name Ye No <br /> Sign and date the COC,place in a ziplock and put int 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: / Zcheckr <br /> Acceptable is above freezing to 6- C. If many packages are received at one timsts/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: JV�9� ���� fe?o3. Do the number of bottles received 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? C::;es 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? e 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 C' FGL <br /> [Exception:Oil&Grease,VOA and CM 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? No -N <br /> 6. Were all analyses within holding times at time of receipt? � No <br /> Attach labels to the containers and include a copy of the COC el' ery. <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: (3017919) <br /> San <br /> Initiated By: JOa/l <br /> Problem: u'n Counfy CHD <br /> T `I V C <br /> Resolution: S I�135 <br /> 322 <br /> apb 04/20/2021 16:25:00 <br /> use the back of this sheet for additional c <br /> contacts) IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> JI TS'f99 <br />