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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002_SOP_12-1.DOC <br />Page 1 of 1 <br />Inte oratory Condition Upon Receipt (Attach to COC) 22`4 q <br />Sample Receipt STK CC / CH VI <br />1. Number of i c ages received: r Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: 2 Q / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I 0' 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 No <br />5. VOAs checked for Headspace? Yes <br />6. Were sample custody seals intact? Yes <br />7. If required, was sample split for pH analysis? s <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name _ es No <br />Sign and date the COC, place in a ziplock and put in e same ice c e 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 6 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />-55us03 84,r�, I 511 / <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 NoI��IA <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? <br />No <br />2. Did bottle labels correspond with the client's ID's? <br />No <br />3. Were all bottles requiring sample preservation properly preserved? <br />No N/A FGL <br />[Exception: Oil & Grease, VOA and CM verified in labl <br />Yes No 1a <br />4. VOAs checked for Headspace? <br />5. Have rush or project due dates been checked and accepted? <br />Yes No <br />6. Were all analyses within holding times at time of receipt? <br />`G 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): COP <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: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional coma <br />contacts) <br />Phone Number:_ _ _. <br />Ibt]91q <br />Sao Joaquin Courcy EHE <br />STK223449 <br />"IiI410�Vl20lbllllimua 9 <br />