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FGL Environmental Doc ID: 3D0900002_SOP_14.doc <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Con on Receipt (Attach to COC) <br /> Sample Receipt at: CC CH K VI o <br /> 1. Number of ice chests/packages receive : I Shipping tracking #(s): <br /> 2. Temp IR Gun ID #:TH319 <br /> 3. Were samples received on ice. <br /> o Temps: <br /> Surface water SWTR bact samples: 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? Yes N N/A <br /> 7. Were all analyses within holding times at time of receipt? es o <br /> 8. Verify sample date,time and sampler name es No <br /> Sign and date the COC,place in a ziplock and put in t e ice chest as a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> Number of ice chests/packages received. Shipping tracking#(s). 0� 5-L13(Q <br /> 2. Temp IR Gun ID #: <br /> 3. Were samples received on ice? Ye No Temps: 3 <br /> Acceptable is above freezing to 6°C. If any No <br /> are received atone time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? Pes <br /> s 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? es No <br /> 2. Did bottle labels correspond with the client's ID's? Eeks <br /> No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> lException:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? Vs No <br /> Attach labels to the containers and include a copy of the COC for-la12 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 /> 1 Joaquin County EHO <br /> S0611OK26138295y <br /> (Please use the back of this sheet for additional comments or5i2° <br /> 1�11�1111111� i 3;00 <br /> ,:,_lllflllll��llll� <br /> :ys ll <br />