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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 Conditio on Receipt (Attach to COC)W//3�83�' <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: <br /> 3. Were samples receiv d o ice? Ye No Temps: <br /> Surface water SV,/TR 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 /> 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.) Yes No <br /> 6. VOAs checked for Headspace? No /A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name SNo <br /> Sign and date the COC,place in a ziplock and put in the Ae 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): S(o l f 7 a 3 S <br /> (.015 110v <br /> 2. Temp IR Gun ID <br /> 3. Were samples received on ice? a No Temps: bc- <br /> Acceptable <br /> 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? (Kes No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) 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? QLez No <br /> 2. Did bottle labels correspond with the client's ID's? 1Y.eg No <br /> 3. Were all bottles requiring sample preservation properly preserved? QLev No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No Q4/ <br /> 5. Have rush or project due dates been checked and accepted? Yes No /Y <br /> 6. Were all analyses within holding times at time of receipt? Ye 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): <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 EHO <br /> (Please use the back of this sheet for additional comments or con STRK'Z`438832 <br /> iv 0611412024 06:43:34 <br /> - �Il�a�lfl�a��a�l�ll�ll�lll� <br /> STK2438932 <br />