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Page 37 of 38 <br /> %rall" <br /> imnMe"fal WORK ORDER <br /> #t v� ndr - I <br /> [*mAlkylialm <br /> Cooler of <br /> CLIENT: EAU DATE: 121 z;5111 <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C—6.0°C, not frozen) <br /> Temperature _ Z - O oC + 0.5°C (CF) _ / . 0 L�'Blank El 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 ❑ FilterY L <br /> Initial: <br /> CUSTODY SEALS INTACT: <br /> Cooler [j ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial, L` <br /> ❑ Sample ❑ ❑ No (Not Intact) ;1 Not Present Initial: R <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC)document(s) received with samples....................Z( ❑ ❑ <br /> COC documents) received complete...................................................X ❑ ❑ <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...................................................... p1 ❑ ❑ <br /> Sample container label(s) consistent with COC...................................... ❑ ❑ <br /> Sample container(s) intact and good condition.......................................; ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested................ w ❑ ❑ <br /> Analyses received within holding time................................................../Fj ❑ ❑ <br /> pH / Res. Chlorine/Diss. Sulfide/Diss. Oxygen received within 24 hours... ❑ ❑ )2( <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... pf ❑ ❑ <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ 1' <br /> CONTAINER TYPE: <br /> Solid: 04ozCGJ 08ozCGJ 016ozCGJ ❑Sleeve �_) ❑EnCoreso ❑TerraCores® ❑ <br /> Water: ❑VOA XVOAh ❑VOAna2 0125AGB ❑125AGBh ❑125AG13p 01AGB 01AGBna2 01AGBs <br /> 0500AG6/500AGJ 0500AGJs ❑250AGB 13250CGB ❑250CGBs ❑1PB 01PBna ❑500PB <br /> 0250PB 13250PBn 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar® ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by:_ L <br /> Container. C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Reseelable Beg E:Envelope Reviewed by: I!L— _ <br /> Preservative: h:HCL n:HNO3 na2:N82S203 na:NaOH p:H31304 s:H2SO4 u.Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by: f-r <br /> SOP T1D0_090(1D/04111) <br />