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FGL Environmental Doc ID:3DO900002_SO 12.DOC Revision Date: 10/09/14 Page 1 of 1 Inter- ory Condition Upon Receipt (Attach to COQ RJ W 0C--,1Sample Receipt at• ST CC CH VI 1. Number of i2ckages received: Shipping tracking# 2. Were samples received in a chilled condition? Temps: Surface water SWTR bact samples:A sample that has a temperature upon receipt of >10°C,whe her 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 6. Were sample custody seals intact? Yes No 7. If required, was sample split for pH analysis? N _a_ S. Were all analyses within holding times at time of receipt? No 9. Verify sample date,time and sampler name es-� No Sign and date the COC, place in a ziplock and put in the s e ice the a samples. Sample Receipt Review completed by (initials): Sample Receipt at SP: 1. Were samples received in a chilled condition? Temps: Acceptable is above freezing to 66) C. If many packages are received at one time check for tests/H.T.'s rushes/ 2. Shipping tracking numbers:��—V)Jk3(3j C��D'07330 �-/ 3. Do the number of bottles received agree with the COC? e No N/A 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) QED No 5. Were sample custody seals intact? Yes No Sign and date the COC,obtain LIMS sample numbers, select methods/tests and print labels. Sample Verification,Labeling and Distribution: 1. Were all requested analyses understood and acceptable? Ce No 2. Did bottle labels correspond with the client's ID's? No 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL [Exception: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? )2�) 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: (3017919) 2. Person Contacted: San Joaquin CountyEND Initiated By: Problem: STK2236280 Resolution: iv 0510612022 08:20:41 (Please use the back of this sheet for additional ,Illl��1111�,�,�111�11111111111 re contacts) STk2 Wse