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FGL Environmental Doc ID: 3D0900002_SOP_12-3.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L ory Condition Upon Receipt (Attach to COC) *,l407 5 <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 1.fv / / / / <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? VaQ No A <br /> 8. Were all analyses within holding times at time of receipt? 5QNo <br /> 9. Verify sample date, time and sampler nameYes No <br /> Sign and date the COC, place in a ziplock and put in the e ' e 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: <br /> Acceptable is above freezing to 6E C. If many packages are received at one time check for tests/H.T..'s/ruushes/ <br /> 2. Shipping tracking numbers: CJ" 1-1 *74cWt6 �P) J -! Aei) t <br /> 3. Do the number of bottles received agree with the COC? (�23No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? Yes 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? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 19- <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> lException:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <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? & 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 County EHD <br /> Problem: <br /> Resolution: SA215075 <br /> (Please use the back of this sheet for additions iv 0913012021 16:12:54 ere <br /> contacts) III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> STK21540'5 <br />