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A <br />N/A <br />Yi <br />/ Shipping tracking #(s): 1. <br />FGL <br />f/Az <br />2. <br />(Please use the back of this sheet for additional comments or c< <br />2. <br />3. <br />4. <br />5. <br />1. <br />2. <br />3. <br />2. <br />3. <br />FGL Environmental <br />Revision Date: 10/10/23 <br />No <br />No <br />No <br />No <br />No <br />No <br />4. <br />5. <br />6. <br />7. <br />8. <br />^Yes <br />-Ye? <br />Doc ID: 3D0900002_SOP_14.doc <br />Page 1 of 1 <br />pon Receipt (Attach to COC) $k <br />VI <br />Shipping tracking #(s): <br />Phone Number: <br />Datp- <br />(3019150) <br />Mike Wutzke <br />STUTZ <br />mdc 06/15/2026 16:13:25 <br />Hlllll <br />STK263tJ677 <br />Inter-Laboratory Condithnr <br />CC CH <br />Number of ice chests/packages received: | <br />No <br />No <br />No <br />No <br />No <br />e ice chest as~the samples. <br />Sample Receipt at: <br />1. <br />Temp IR Gun ID #:TH318 Z <br />Were samples received on icq^^Yes^No Temps: / / //// <br />Surface water SWTR bact samples: A sample 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? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.)’ <br />VO As checked for Headspace? <br />Were all analyses within holding times at time of receipt? <br />Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put i <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />Number of ice chests/packages received: <br />Temp IR Gun ID #: / <br />Were samples received on ice? J/eJ) No Temps: //// <br />Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.’s/rushes/ <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.) (Ye^ No <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client’s ID’s? <br />Were all bottles requiring sample preservation properly preserved? Yes <br />(Exception: Oil & Grease, VOA and CrVI verified in lab| <br />VO As checked for Headspace? Yes <br />Have rush or project due dates been checked and accepted? Ye_s <br />Were all analyses within holding times at time of receipt? /Yes) <br />.................................... ~ ' ...............zW <br />4. <br />5. <br />6. <br />Attach labels to the containers and include a copy of the COC for lab delivbryf <br />Sample Receipt, Login and Verification completed by (initials): C- <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 />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: