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tiff eurofins <br />Calscience <br />CLIENT: (�RI, <br />Page 33 of 34 <br />WORK ORDER M 15 -02 -El a[Z] <br />Cooler L of % <br />DATE: 0210 1 15 <br />TEMPERATURE: Thermometer ID: SC4 (Criteria: 0.0 °C — 6.0 °C, not frozen except sedimentitissue) <br />Temperature -I °C + 0.2 °C (CF) = 3 •3 °C ,Blank ❑ 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 />7CU TODY SEALS INTACT: <br />Cooler C ❑ No (Not Intact) ❑ Not Present ❑ N/A Checked by:L <br />❑ Sample ❑ ❑ No (Not Intact) Not Present Checked by: <br />SAMPLE CONDITION: <br />Yes <br />No <br />N/A <br />Chain -Of -Custody (COC) document(s) received with samples ................... <br />❑ <br />❑ <br />COC document(s) received complete....................................................0 <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 />❑ <br />❑ <br />Sample container label(s) consistent with COC ..................................... <br />❑ <br />❑ <br />Sample container(s) intact and good condition ...................................... <br />p <br />❑ <br />❑ <br />Proper containers and sufficient volume for analyses requested...............`/f�J <br />❑ <br />❑ <br />Analyses received within holding time ................................................. <br />JP11 <br />❑ <br />❑ <br />Aqueous samples received within 15 -minute holding time <br />I <br />❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen.....,.,... <br />❑ <br />❑ <br />Proper preservation noted on COC or sample container .......................... <br />;2' <br />❑ <br />❑ <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile analysis container(s) free of headspace..................................../11 <br />❑ <br />C, <br />Tedlar bag(s) free of condensation...................................................... <br />❑ <br />❑ <br />CONTAINER TYPE: <br />Solid: ❑4ozCGJ 8ozCGJ ❑16ozCGJ []Sleeve ( ) ❑EnCoreso ❑TerraCoree ❑ <br />Aqueous: ❑VO VOAh 0V0Ana2 ❑125AGB 0125AGBh 13125AGBp ❑1AGB 131AGBna2 ❑1AGBs <br />❑500AGO500AGJ ❑500AGJs 11250AGB 1:1250CGB 0250CGBs ❑1PB 01PBna 0500PB <br />❑250PB 0250PBn ❑125PB ❑125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br />Air: ❑Tedlae ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by:� <br />Container: C: Clear A: Amber P: Plastic G: Glass J: Jar IS: Bottle Z. ZiploclResaalable Sag E: Envelope Reviewed by: <br />Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: HaPO■ a: H2Saa u: Ultra -pure znna: ZnAr�2+NaOH f: Filtered Scanned by:/_ <br />SOP T100_090 (06102114) <br />