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FGL Environme tal Doc ID: 3DO900002_SOP_12-3.DOC <br /> Revision Date: 1 /09/14 Page 1 of 1 <br /> I ter-L atoacc <br /> ondition Upon Receipt (Attach to COC) <br /> Sample Receip at: TK CHVI <br /> 1. Number o�ice chests packages received: Shipping tracking# <br /> 2. Were sam les received in a chilled condition? Temps: 16.11 / <br /> Surface wa r SWTR bact samples:A sample that has a temperature upon receipt of >10°C,whether iced or not, <br /> should be flagged nless the time since sample collection has been less than two hours. <br /> 3. Do the n ber of bottles received agree with the COC? dallo N/A <br /> 4. Were s pies received intact?(i.e. no broken bottles, leaks etc.) Ye No <br /> 5. VOAs c cked for Headspace? Yes No <br /> 6. Were s pie custody seals intact? Yes No <br /> 7. If requir d, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify s pie date,time and sampler name Ye No <br /> Sign and date he COC, place in a ziplock and put in the ice chest as the samples. <br /> Sample Recei t Review completed by (initials): <br /> Sample Rece pt at SP: <br /> 1. Were s pies received in a chilled condition? Temps: <br /> Acceptab is above freezing to 6E C. If many packages are received at one time check For tests/H.T.'s/rushes/ <br /> 2. Shippin tracking numbers: <br /> 3. Do the umber of bottles received agree with the COC? No N/A <br /> 4. Were s pies received intact?(i.e. no broken bottles, leaks etc.) a No <br /> 5. Were s pie custody seals intact? es No CA <br /> Sign and dat the COC,obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Veri ication, Labeling and Distribution: <br /> 1. Were a I requested analyses understood and acceptable? No <br /> 2. Did bo le labels correspond with the client's ID's? tes <br /> No <br /> 3. Were a I bottles requiring sample preservation properly preserved? No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab! <br /> 4. VOAs hecked for Headspace? Yes No <br /> 5. Have sh or project due dates been checked and accepted? Yes No <br /> 6. Were 1 analyses within holding times at time of receipt? No <br /> Attach label to the containers and include a copy of the COC for lab delivery. <br /> Sample Rec ipt, Login and Verification completed by (initials): C� <br /> Discrepanc Documentation: <br /> Any items a ove which are "No"or do not meet specifications(i.e. temps)must be resolved. <br /> 1. Perso Contacted: Phone Number: <br /> Initiat d By: Date: <br /> Proble : <br /> Resol tion: <br /> (30179+19) <br /> 2. Perso Contacted: San Joaquin Cour4 END <br /> Initiat d By: <br /> Probl : STIU153763 <br /> Resol tion: <br /> iv 091241202107:19:11 <br /> (Please use he back of this sheet for additionE 11M111111111111M1 ere <br /> contacts) g"�""" <br />