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Page 28 of 28 <br />W e u rof i ns WORK ORDER M 15-02-0 0 <br />Calsclence <br />SAMPLES - CONTAINERS & LABELS: <br />;ZrSample(s) NOT RECEIVED but listed on COC <br />❑ Sample(s) received but NOT LISTED on COC <br />❑ Holding time expired — list sample ID(s) and test <br />�Xnsuff'icient quantities for analysis — list test <br />❑ Improper container(s) used — list test <br />❑ Improper preservative used — list test <br />❑ No preservative noted on COC or label — list test & notify lab <br />❑ Sample labels illegible — note test/container type <br />❑ Sample label(s) do not match COC — Note in comments <br />❑ Sample ID <br />❑ Date and/or Time Collected <br />❑ Project Information <br />❑ # of Container(s) <br />❑ Analysis <br />❑ Sample container(s) compromised — Note in comments <br />❑ Water present in sample container <br />❑ Broken <br />❑ Sample container(s) not labeled <br />❑ Air sample container(s) compromised — Note in comments <br />❑ Flat <br />❑ Very low in volume <br />❑ Leaking (Not transferred - duplicate bag submitted) <br />❑ Leaking (transferred into Calsclence Tedlar® Bag*) <br />❑ Leaking (transferred into Client's Tedlar® Bag*) <br />❑ Other: <br />HEADSPACE — Containers with Bubble > 6mm or'/4 inch: <br />Comments: <br />-1 0 re Cei ad <br />Sample # <br />Container <br />ID(s) <br /># of Vials <br />Received <br />Sample # <br />Container 10(s) <br /># of Vials <br />Received <br />Sample # <br />Container <br />ID(s) <br /># of Cont. <br />received <br />Analysis <br />111 <br />Comments: <br />*Transferred at Client's request. <br />Initial / Date: qtv5 02 / 6 /15 <br />SOP T100 090 <br />