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FGL Environmental Doc ID:3DO900002 S P_12-3.DOC Revision Date: 10/09/14 Page 1 of 1 Inter- tory Condition Upon Receipt (Attach to Cop a�5a8lJ� Sample Receipt at: STK CC CH VI 1. Number of ice chests packages received: / Shipping tracking# 2. Were samples received in a chilled condition? Temps:61 Z. / / / / Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10°C,w ether iced or not, should be flagged unless the time since sample collection has been less than two hours. 3. Do the number of bottles received agree with the COC? No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No 5. VOAs checked for Headspace? Yes No N/ 6. Were sample custody seals intact? Yes No 7. If required, was sample split for pH analysis? Yes No /A 8. Were all analyses within holding times at time of receipt? No 9. Verify sample date, time and sampler name 2ples No Sign and date the COC, place in a ziplock and put in t ame ice chest Sample Receipt Review completed by (initials): Sample Receipt at SP: 1. Were samples received in a chilled condition? Temps: 4—/ Acceptable is above freezing to 6E C. If many packages are received at one time check for tests/H.T.' rushes/ 2. Shipping tracking numbers: 15�S?6rs 13 3. Do the number of bottles received agree with the COC? No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) ZM No 5. Were sample custody seals intact? Yes No /A Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print 1 bels. Sample Verification, Labeling and Distribution: 1. Were all requested analyses understood and acceptable? No 2. Did bottle labels correspond with the client's ID's? k No 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL (Exception:Oil&Grease,VOA and CrVI verified in labl 4. VOAs checked for Headspace? Yes No <32A 5. Have rush or project due dates been checked and accepted? Yes No (ISA 6. Were all analyses within holding times at time of receipt? es No Attach labels to the containers and include a copy of the COC for lab delivery. Sample Receipt, Login and Verification completed by (initials): Discrepancy Documentation: Any items above which are "No" or do not meet specifications(i.e. temps) must be resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: (3018181) 2. Person Contacted: Metal Finishing Solutions, Inc. Initiated By: Problem: STU152815 Resolution: apb 0911012021 16:36:32 (Please use the back of this sheet for additional UQ�I�I1�IIlII� Ilulll re STK215nl5 contacts)