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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L oratory Condition Upon Receipt (Attach to COC) �a <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <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 /> 3. Do the number of bottles received agree with the COC? AZP No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) i�� No <br /> 5. VOAs checked for Headspace? Yes No <IED <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? C� 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 the same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: 1 / -Z- <br /> Acceptable is above freezing to 6`w C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> Ss^?- ( '114 l Cr P-0 L4 GS <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.) te's No <br /> 5. Were sample custody seals intact? Yes No G <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? No <br /> 2. Did bottle labels correspond with the client's ID's? Ae <br /> No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> IException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? 0 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): CDn- <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 County EHD <br /> Initiated By: <br /> Y <br /> Problem: STK2253004 <br /> Resolution: <br /> iv 09/1412022 08:09:38 <br /> (Please use the back of this sheet for additional c Illlllll�l1111111�11�11111111111111� <br /> contacts) STK2253004 <br />