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FGL Environmental Revision Date: 10/09/14 Inter -La tory Condition Sample Receipt at: S CC 1. Number of ice chess packages received: Doc ID: 3D0900002_SOP_12-4.DOC Page 1 of 1 Upon Receipt (Attach to COC) ""�5� CH VI ' Shipping tracking # 2. Were samples received in a chilled condition? Temps: y- t / Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10' C, whether 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? es No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No 5. VOAs checked for Headspace? Yes No 6. Were sample custody seals intact? Yes No <r/ 7. If required, was sample split for pH analysis? Yes No 8. Were all analyses within holding times at time of receipt? e No 9. Verify sample date, time and sampler name -<YE--3 No Sign and date the COC, place in a ziplock and pgt-n;same ice chest as the samples. Sample Receipt Review completed by (initials): Sample Receipt at SP: /� 3 v' 1. Were samples received in a chilledc ndition. Temps: Acceptable is above freezing to 6- C. 11m, y packages a received a one time check for tests/H.T.'s/rushes/ 2. Ship in trac ' numbe 3. Do the number of bottles received gree with the COC? No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) &ei- No 5. Were sample custody seals intact? Yes No 111QA9 Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print Labe s"' Sample Verification, Labeling and Distribution: 1. Were all requested analyses understood and acceptable? ass-4No 2. Did bottle labels correspond with the client's ID's? es No 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL lException: Oil & Grease, VOA and CM verified in labl 4. VOAs checked for Headspace? Yes No 5. Have rush or project due dates been checked and accepted? Yes No 6. Were all analyses within holding times at time of receipt? 46� 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: Problem: Resolution: 2 Person Contacted: Initiated By: Problem: Resolution: (Please use the back of this sheet for addit contacts) Date: (aonsis) San Joaquin Courcy END 0223069