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L Environmental Doc ID.- 3DO900002 SOF I4.DOC <br /> evision Dater 10/10/23 _ Page 1 of 1 <br /> )infer-Laboratory Conditi po>�n Receipt (Attach to COC) I-"J <br /> mple receipt at: CSC BCH STK V1 <br /> Number of ice chests/packages receive Shipping tracking#(s): <br /> Temp IR Guii ID #: <br /> Were samples received on ice?Wse <br /> No Temps: <br /> Surface water SWTR bact samples:A 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 /> Do the number of bottles received agree with the COC? No N/A <br /> Were samples received intact? (i.e. no broken bottles, leaks etc.) 16 No <br /> VOAs checked for. Headspace? Veg No <br /> Were all analyses within.holding times at time of receipt? No <br /> Verify sample date,time and sampler name es No <br /> 'gn and date the COC,place in a ziplock and pu&in - ame ice chest as a samples. <br /> mple Receipt Review completed by (initials): <br /> atm;ale Receipt at SP-. <br /> Number of ice chests/packages received: � Shipping tracking#(s): 4 <br /> S�1 <br /> Temp IR Gun ID#: <br /> Were samples received on ice? Ye No Temps: <br /> Acceptable is above freezing to 6°C. If any packages are received at one time check for tests/H.T.'s/rushes/ <br /> Do the number of bottles received agree with the COC? ff ev No N/A <br /> Were samples received intact? (i.e. no broken bottles,leaks etc.) Ye No <br /> gn and date the COG,obtain LIMS sample numbers, select methods/tests and print labels. <br /> mhle Verification,Labeling and Distribution: <br /> Were all requested analyses understood and acceptable? (Yes" Na <br /> Did bottle Iabels correspond with the client's ID's? No <br /> Were all bottles requiring sample preservation properly preserved? ffe No N/A FOL <br /> (Exception:Oil&Grease,VOA and CM verified in Inb1 <br /> VOAs checked for Headspace? Yes No <br /> Have rush or project due dates been checked and.accepted? Yes No SWAJ <br /> Were all analyses within holding times at time of receipt? Yes No <br /> Kach labels to the containers and include a copy of the COC for lab delivery. <br /> ample Receipts Login and Verification completed by (initials): <br /> i.screpancy Documentation: <br /> ny items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br /> Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution:. <br /> Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: _ - - <br /> Resolution: 17 919) <br /> JCountySan EHO <br /> (Plea use the back of this sheet for additional comments or con <br /> mdc 071231202416:39:14 <br /> 111 I�ll 11111D11111111�11�111��I ll1 <br /> ' SYK2450831 <br />