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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12.DOC <br />Page 1 of 1 <br />Inter -La tory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice chespackages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: -.9-- —, / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10° C, whether iced or not, <br />should be flagged unless the time since sample collection has been less than two hours. <br />49Jr' ZZ11'2-- <br />3. Do the number of bottles received agree with the COC? <br />No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.)No <br />tNo <br />5. VOAs checked for Headspace? <br />N/A <br />6. Were sample custody seals intact? <br />Yes No <br />7. If required, was sample split for pH analysis? <br />No <br />8. Were all analyses within holding times at time of receipt? <br />No <br />9. Verify sample date, time and sampler name <br />Yes No <br />Sign and date the COC, place in a ziplock and put in the ce chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt, Login and Verification completed by (initials): <br />Sample Receipt at SP: <br />V— <br />Discrepancy Documentation: <br />1. Were samples received in a chilled condition? Temps: <br />Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />Acceptable is above freezing to 60 C. If many packages are r ived at one ti check <br />2. Shipping tracking numbers: �I�o" 1A-�� 8C 5 <br />for tests/H. .'s/rushes/ <br />%L� <br />Initiated By: Date: <br />3. Do the number of bottles received agree with the COC? <br />(ten) No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />es No <br />5. Were sample custody seals intact? <br />Yes No C7i/� <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? Q� <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? Yes <br />No/ FGL <br />(Exception: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? Yes <br />No fi� <br />5. Have rush or project due dates been checked and accepted? Yes <br />No <br />6. Were all analyses within holding times at time of receipt? -IM <br />No <br />Attach labels to the containers and include a copy of the COC forb 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 />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional co: <br />contacts) <br />mieeom <br />Live Oak Geo Environmental <br />STP252212 <br />"iu�i��uAt` <br />