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FGL Environmental Doc ID: 3DO900002_SOP_12-1.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter ry Condition Upon Receipt (Attach to COC) <br />Sample Receipt aSTK C CH VI <br />1. Number of ice ackages received: ' Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: 1�6 / / / / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I0' 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. No <br />5. VOAs checked for Headspace? Yes N A <br />6. Were sample custody seals intact? Yes N <br />7. If required, was sample split for pH analysis? <br />8. Were all analyses within holding times at time of receipt? P <br />o <br />9. Verify sample date, time and sampler name o <br />Sign and date the COC, place in a ziplock and p same ice chest aes. <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 re ived at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: S5-()5'(KQW <br />�1// Yr <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.) 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 label <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? s No N/A FGL <br />[Exception: Oil & Grease, VOA and CrVI verified in labs <br />4. VOAs checked for Headspace? Yes No A// <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 la iv <br />/ <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: STK2155487 <br />Resolution: <br />iv 10/2612021 16:20:55 sere <br />(Please use the back of this sheet for additior III <br />11111111 <br />IIIIIIII II I II IIII I III <br />contacts) STK215548, <br />