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FGL Environmental Doc ID: 3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condition Receipt (Attach to COC} �A!g a <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received.W, Vi <br /> Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: U, <br /> 3. Were samples received on ice Ye No Temps: 1 <br /> p <br /> p q <br /> Surface water SWTR bact samples: sample that has a temperature upon receipt of >I0°C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less than two hours. <br /> 4. Do the number of bottles received agree with the COC? No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks et No <br /> 6. VOAs checked for Headspace? e No N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in Aie same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> _W --./ <br /> Sample Receipt at SP: ! <br /> � <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): 5 tg3gj <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? re* No Temps: <br /> Acceptable is above freezing to 6°C. If packages are received at one time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? s No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <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? s No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No C/A FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? fe s No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No IC <br /> /A <br /> Were all analyses within holding times at time of receipt? s No <br /> Attach labels to the containers and include a copy of the COC f deli <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: Phone Number: <br /> Initiated By: - - - - <br /> Problem: (3017919) <br /> Resolution: San Joaquin County EHD <br /> sTvK4L431494 <br /> (Please use the back of this sheet for additional comments or cc iv 0"m+12024 07:40:02 <br /> t-TM2431494 <br />