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FGL Environmental Revision Date: 10/10/23 Doc ID: 3D0900002_SOP_14.doc Page 1 of 1 Inter -Laboratory Conditioon Receipt (Attach to COC)oZ0�(P2�o Sample Receipt at: CC CH S& VI 1. Number of ice chests/packages received: 1 Shipping tracking #(s): 2. Temp IR Gun ID #:TH319 3. Were samples received on ice?�eo Temps:7:] Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10° C, whether iced or not, should be flagged unless the time since sample collection has been less than two hours. 4. Do the number of bottles received agree with the COC? jp No 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No 6. VOAs checked for Headspace? Yes No 7. Were all analyses within holding times at time of receipt? a No 8. Verify sample date, time and sampler name es No Sign and date the COC, place in a ziplock and put in the same ice chest as the samples. Sample Receipt Review completed by (initials): , Sample Receipt at SP: S66b yh)-? 1. Number of ice chests/packages received: %i Shipping tracking #(s). N/A 2. Temp IR Gun ID #:lam l� 3. Were samples received on I e .Ye No Temps: Acceptable is above freezing to 6°C. I many packages are received at one time check for to /H.T.'s/rushes/ 4. Do the number of bottles received agree with the COC? No N/A 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. Sample Verification, Labeling and Distribution: 1. Were all requested analyses understood and acceptable? No 2. Did bottle labels correspond with the client's ID's? gYeNo No 3. Were all bottles requiring sample preservation properly preserved? N/A FGL [Exception: Oil & Grease, VOA and CM verified in lab] 4. VOAs checked for Headspace? Yes No Have rush or project due dates been checked and accepted? Yes ;/A?5. No 6. Were all analyses within holding times at time of receipt? Yes No Attach labels to the containers and include a copy of the COC for lab deliv Sample Receipt, Login and Verification completed by (initials): �X- Discrepancy Documentation: Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. 1. Person Contacted: Phone Number: Initiated By: Date: Problem: Resolution: Q Person Contacted: Initiated By: Problem: Resolution: (Please use the back of this sheet for additional comments or c Phone Number: -Date: -- -- (3011919) Say Joaquin County END STU556626 N 10128/2025 06:53:49 �a��iwiwm�Nu