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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 Condit' pon Receipt (Attach to COC) ���� <br /> y <br /> Sample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages receive . Shipping tracking#(s): <br /> 2. Temp IR Gun ID <br /> 3. Were samples received on ice? es o <br /> p a thTemps�:�_ <br /> Surface water SWTR bact samples:A samat 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? No N/A <br /> 7. Were all analyses within holding times at time of receipt? - s No <br /> 8. Verify sample date, time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in th#same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: �U�L <br /> 1. Number of ice chests/packages received. Shipping tracking#(s): �� Iq 5 f/ <br /> 2. Temp IR Gun ID#:— b <br /> 3. Were samples received on ice? e No Temps. I I I I <br /> Acceptable is above freezing to 6°C. If y pac�ages are received at one time check for tests/i.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? Yes No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yes 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? Y&-s; No <br /> 2. Did bottle labels correspond with the client's ID's? �(_ea No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? VN/ No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No �l,A <br /> 6. Were all analyses within holding times at time of receipt? Qyje 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 CountyEND <br /> (Please use the back of this sheet for additional comments or conta STP437336 <br /> jaw 051211202417:06:26 <br /> 111111111111111111111111M <br /> SU243"30 <br />