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FGL Environmental <br />Revision Date: 10/09/14 <br />Inter-Ltory Condition <br />Sample Receipt at: (STw CC <br />1. Number of ice chests/packages received: <br />Doc ID: 3DO900002_SOP_12.DOC <br />Page 1 of 1 <br />Upon Receipt (Attach to COC) <br />CH VI <br />Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: /6• / / / / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >100 C, whether iced or not, <br />should be flagged unless the time since sample collection has been less than two hours. <br />,?&59g3 <br />3. Do the number of bottles received agree with the COC?Ye <br />No <br />N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />No <br />No <br />5. VOAs checked for Headspace? <br />6. Were sample custody seals intact? <br />es No <br />Yes No <br />N/A <br />7. If required, was sample split for pH analysis? <br />s No <br />/ <br />8. Were all analyses within holding times at time of receipt? <br />No <br />No <�A <br />9. Verify sample date, time and sampler name <br />a No <br />No <br />Sign and date the COC, place in a ziplock and put in e e ice chest <br />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 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />0�31V1003 <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.) a 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 labPs <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? <br />0 F -e <br />No <br />2. Did bottle labels correspond with the client's ID's? <br />a <br />No <br />3. Were all bottles requiring sample preservation properly preserved? <br />Yes <br />No (jVTK FGL <br />[Exception: Oil & Grease, VOA and CM verified in labl <br />4. VOAs checked for Headspace? <br />No N/A <br />5. Have rush or project due dates been checked and accepted? <br />Yes <br />No <�A <br />6. Were all analyses within holding times at time of receipt? <br />� <br />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 d not meet specifications (i.e. temps) must 4e resolved. <br />1. Person Contacted: ��cla►'a r� S Phone N ber 1114-r-:5Initiated By: Date: ,�0 aroma l <br />Problem: No 9AX Y'r' a � <br />Resolution: � �;�!�,o.�aJ �,.�t�j ifs Y10 - � <br />2 <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additiona <br />contacts) <br />(3017919) <br />San Joaquin County EHD <br />STR135843 <br />iv 04/30/2021 15:48:37 We <br />QI���DIfI�QUIaIIIOsll6� <br />_srasre.s <br />