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wv eurofins <br />Calsdence <br />CLIENT: C-7-9-7— <br />Page 223�3 of 23 <br />WORK ORDER M. 15-02 -EIG ED 13 <br />© Cooler /of <br />DATE; 021---115 <br />TEMPERATURE: Thermometer ID: SC4 (Criteria: 0.0 °C - 6.0 °C, not frozen except sediment/tissue) <br />Temperature _ 3 - 0 OC + 0.2 °C (CF) =3 . Z °C ; 'Blank O Sample <br />❑ Sample(s) outside temperature criteria (PM/APM contacted by: ) <br />❑ Sample(s) outside temperature criteria but received on ice/chilled on same day of sampling. <br />❑ Received at ambient temperature, placed on ice for transport by Courier. <br />Ambient Temperature: ❑ Air ❑ Filter Checked by: <br />CUSTODY SEALS INTACT: <br />,16"Cooler 0 ❑ No (Not Intact) ❑ Not Present O N/A Checked by: <br />❑ Sample ❑ ❑ No (Not Intact) ;'Not Present Checked by: _2Z <br />SAMPLE CONDITION: <br />Yes <br />No <br />N/A <br />Chain -Of -Custody (COC) document(s) received with samples .................. <br />A3- <br />❑ <br />❑ <br />COC document(s) received complete....................... ............................ <br />cr <br />❑ <br />❑ <br />❑ Collection date/time, matrix, and/or # of containers logged in based on sample labels. <br />❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. <br />Sampler's name indicated on COC ................................................... <br />0- <br />❑ <br />❑ <br />Sample container label(s) consistent with COC .................. .......... ......... <br />__fT <br />❑ <br />❑ <br />Sample containers) intact and good condition.......................................0" <br />❑ <br />❑ <br />Proper containers and sufficient volume for analyses requested............... <br />0- <br />❑ <br />❑ <br />Analyses received within holding time ................................................. <br />'12 <br />❑ <br />❑ <br />Aqueous samples received -within 15 -minute holding time <br />❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... <br />❑ <br />❑ <br />J <br />Proper preservation noted on COC or sample container ........................... <br />❑ <br />❑ <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile analysis container(s) free of headspace..................................... <br />❑ <br />❑ <br />Tedlar bag(s) free of condensation...................................................... <br />❑ <br />❑ <br />CONTAINER TYPE: <br />Solid: 04ozCGJ 08ozCGJ 016ozCGJ ❑Sleeve ( ❑EnCores® ❑TerraCores@ ❑ <br />Aqueous: 0V0Aj2V8Ah ❑VOAna2 0125AGB ❑125AGBh 0125AGBp 01AGB 01AGBna2 01AGBs <br />❑500AGB0d'0AGJ ❑500AGJs 0250AGB 0250CGB 0250CGBs 01PB 01P13na 0500PB <br />11250PB 0'250PBn 0125176 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br />Air: ❑Tedlai* ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br />Container. C: Clear A Amber P: Plastic G: Glass J: Jar B: Bottle Z: ZiploGResealable Bag E: Envelripe Reviewed by: <br />Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3PO4 s: H2SO4 u: Ultra-pureznna: ZnAc1+NaOH f: Filtered Scanned by: <br />sw Tia o90 t awn4) <br />