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FGL Environmental Doc ID: 2D0900157_SOP_17-1.DOC <br /> Revision Date: 10/09/14 Page: 1 of 1 <br /> In-House Condition Up eipt (Attach to COC) cf/,1x/076 <br /> CC CH � VI SP <br /> Sample Recei t: <br /> 1. Number f ice chests/packages received: <br /> 2. Shipper I racking numbers <br /> G <br /> 3. Were s ples received in a chilled condition? Temps: <br /> 4. Surface 1 vater(S WTR) bact samples: A sample that has a temperature upon receipt of>I OOC, <br /> whether ced or not, should be flagged unless the time since sample collection has been less than <br /> two hou s. <br /> 5. Do then imber of bottles received agree with the COC? No N/A <br /> 6. Verify sample data,time, sampler 5No <br /> 7. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yes No <br /> 8. Were sample custody seals intact? Yes No N/A <br /> Sample Verif cation, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? Yes 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 /A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? (YiD No N/A <br /> 5. Were all analyses within holding times at time of receipt? Yes No <br /> 6. Have rush or project due dates been checked and accepted? N/A Yes No <br /> Include a cop of the COC for lab delivery. (Bacti, Inorganics and Radio) <br /> Sample Receipt, Login and Verification completed by (initials): <br /> Discrepancy ocumentation: (attach additional pages if needed) <br /> Any items abc ve which are "No"or do not meet specifications (i.e. temps) must be resolved. <br /> 1. Person C ontacted: Phone Number: <br /> Initiated By: Date: <br /> Problem <br /> Resolution: <br /> 2. PersonContacted: Phone Number: <br /> Initiated By: Date: <br /> Problem <br /> Resoluti n: <br /> Attach label with lab number here <br /> [!sc this form vhcn all cont�imers are stavmL, in the lab and not being shippcd to FGL-SI' <br />