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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002_SOP_12-4.DOC <br />Page 1 of 1 <br />Inter-Ltory Condition Upon Receipt (Attach <br />Sample Receipt at: ST CC CH VI <br />1. Number of ice chests/packages received: Shipping tracking # <br />to coc> 0�*'S� <br />2. Were samples received in a chilled condition? Temps: W. l / <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 />3. Do the number of bottles received agree with the COC?es <br />No <br />N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes <br />No <br />5. VOAs checked for Headspace? es <br />No <br />6. Were sample custody seals intact? Yes <br />No <br />N/ <br />7. If required, was sample split for pH analysis? Yes No � <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name 11Y No <br />Sign and date the COC, place in a ziplock and a same ice 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? Te ps: <br />Acceptable is above freezing to 6- C. If many packages are ceived at ne t' a check for tests/H.T.'s/rushes/ <br />2. Shipping tracking n mbers• l <br />�. Do the number of bottles received ag ee with the COC? /FeD 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 labels. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable?Y No <br />2. Did bottle labels correspond with the client's ID's? No <br />3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br />[Exception: Oil & Grease, VOA and CM verified in labs <br />4. VOAs checked for Headspace? Yes No a,/, <br />5. Have rush or project due dates been checked and accepted? 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 />2. <br />Problem: <br />Resolution: <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additio <br />contacts) <br />(3017919) <br />$u, Jaaquin county ENO <br />T , K2230657 -_� <br />„pI8N3�IV�d12p <br />