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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-L tory Condition Upon Receipt (Attach to COC) 4/.3&'N <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: 1,—:1 / / / / <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.) Yes 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? Ye No / <br /> 8. Were all analyses within holding times at time of receipt? s No <br /> 9. Verify sample date,time and sampler name es No <br /> Sign and date the COC,place in a ziplock and put in tl-e same ice chest as*e samples. <br /> Sample Receipt Review completed by (initials): n <br /> Sample Receipt at SP: <br /> les received in a chilled condition? Temps: <br /> t/► / / / / <br /> 1. Were samples p <br /> Acceptable is above freezing to 60 C. If many pa kages are received at ne time check for tes T's/rush/es/— <br /> 2. Shipping tracking num • <br /> r <br /> �VI <br /> 5�, �2) - <br /> 3. Do the numYfer of bottles received agree with the COC7. <br /> 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? es No V <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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? te No N/A FGL <br /> (Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No (f <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? /)9) No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <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 /> Initiated By: San Joaquin C00 Ho <br /> Problem: ST0304 <br /> Resolution: <br /> lY 0011212021 16: I�� <br /> contact 2 here <br /> use the back of this sheet for additiol 1101Q11111�lI� - <br />