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FGL Environmental Doc ID:3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- ratory Condition Upon Receipt(Attach to COC) 9950111�5 <br /> Sample Receipt STK CC CH VI <br /> 1. Number of i es s packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: I / I I <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? No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks a No <br /> 5. VOAs checked for Headspace? Yes iT"6. Were sample custody seals intact? Yes <br /> 7. If required, was sample split for pH analysis? <br /> 8. Were all analyses within holding times at time of receipt? <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock andput i the same ice the a 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 60 C. If many packages are reced at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: 4S5l L-�LJIZ4�'ve3`LA%<�i <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 No �/A <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? dZ 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 /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No QU& <br /> 5. Have rush or project due dates been checked and accepted? No JAZ <br /> within holding times at time of receipt? C�eD No <br /> 6. Were all analyses t g p <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 /> Problem: <br /> Resolution: <br /> (3017919) <br /> 2. Person Contacted: San Joaquin Count EnYInitiated B : <br /> Problem: STIU250743 <br /> Resolution: iv 08/02/2022 07:21:55 <br /> �IIIl1I�I�1111K2211074311]1]J ] :re <br /> (Please use the back of this sheet for additions K2250733 <br /> ST ]1111II�1 <br /> contacts) <br />