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FGL Environmental Doc ID: 2D0900157_SOP_17.DOC <br />Revision Date: 10/09/14 Page: 1 of 1 <br />In -House Condition UponReceipt (Attach to COC) <br />CC C K VI SP <br />Sample Receipt: <br />1. Number of ice chests/packages received: <br />2. Shipper tracking numbers <br />3. Were samples received in a chilled condition? Temps: <br />4. Surface water (SWTR) bact samples: A sample that has a temperature upon receipt of >10°C, <br />whether iced or not, should be flagged unless the time since sample collection has been less than <br />two hours. <br />5. Do the number of bottles received agree with the COC?No N/A <br />6. Verify sample data, time, sampler No <br />7. Were samples received intact? (i.e. no broken bottles, leaks a es o ------- <br />8. Were sample custody seals intact? <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? - es No <br />3. Were all bottles requiring sample preservation properly preserved? Yes N FGL <br />lException: Oil & Grease, VOA and CrVI verified in labs <br />4. VOAs checked for Headspace? Yes No Q= <br />5. Were all analyses within holding times at time of receipt? Yes No <br />6. Have rush or project due dates been checked and accepted? Yes No <br />Include a copy of the COC for lab delivery. (Bacti, Inorganics and Radio <br />Sample Receipt, Login and Verification completed by (initials): <br />Discrepancy Documentation: (attach additional pages if needed) <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 />11 <br />Initiated By: <br />Problem: <br />Resolution: <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Date: <br />Phone Number: <br />Date: <br />Resolution: <br />Attach label with lab number here <br />Use this form when all contalncrs are staying in tltc lab and not bcing sliipped to FGL-SP <br />