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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 Con7:-. ZShipping <br /> n Receipt (Attach to COC) <br /> Sample Receipt ate: CC CHVI <br /> 1. Number of ice chests/packages recetracking#(s): <br /> 2. Temp IR Gun ID #: <br /> 3. Were samples received on ice Yes o Temps: <br /> l I I I I <br /> p � <br /> Surface water SWTR bact samples: ple 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. No <br /> 6. VOAs checked for Headspace? s 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 es No <br /> Sign and date the COC,place in a ziplock and put in the a ice ches a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): 5bIVID (01 <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice?, Y , No Temps: L <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? Yew 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? No <br /> 2. Did bottle labels correspond with the client's ID's? Xgs No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No �11A FGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? tYesr No N/A <br /> 5. Have rush orroj ect due dates been checked and accepted? Yes No <br /> 6. Were all anal ses within holding times at time of receipt? es No <br /> Attach labels to the containers and include a co of the COC for a delivery. <br /> copy �C rY <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 EHD <br /> (Please use the back of this sheet for additional comments or cont< STU437642 <br /> iv 0512912024 07:05:42 <br /> III 11f111�11��111�11�I�III11��1L11 <br /> STK2437642 <br />