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FGL Environmental Doc ID: 3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laborato Condi!- Vl <br /> on Receipt Attach to Coq- #,4024y- <br /> Sample <br /> #,40� <br /> Inter-Laboratory P P t } <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages receive : Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: �l3 <br /> 3. Were samples receiv d o Yes m s:ice? NoTe <br /> Surface water SWTR bact ples:A sample that has a temperature upon receipt of >101 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 etc.) No <br /> 6. VOAs checked for Headspace? No N/A <br /> 7. Were all analyses within holding times at time of receipt? Yes No <br /> 8. Verify sample date,time and sampler name Ye No <br /> Sign and date the COC,place in a ziplock and put in the a ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Z Shipping tracking#(s): 5 !S b S <br /> c�isc�b <br /> 2. Temp IR Gun ID #:rlrL <br /> 3. Were s:samples received on ice? a No Tem (-OC-o' <br /> P � p <br /> Acceptable is above freezing to 6°C. If many 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? Yee No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yeq 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? Yeses No <br /> 2. Did bottle labels correspond with the client's ID's? Vw No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No EIA FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? `Y� No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No �, iM <br /> 6. Were all analyses within holding times at time of receipt? LYS 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): PO <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: Date: <br /> Problem: <br /> Resolution: (3017919) <br /> San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or cont STK2438834 <br /> iv 06/14/2024 06:050 <br /> I11 fll��llll�llla�lllllllll�l II1� <br /> STV2438834 <br />