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Page 38 of 38 <br /> sJirx�Q <br /> efmrrMlerrMl <br /> WORK ORDER -1 Z-© D D ED <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑Sample(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 /> ❑ Insufficient quantities for analysis- list test C-9) <br /> Icabf�lt�r-� n� <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 1IV—may , <br /> XSample ID to 9--C)6 <br /> ❑ Date and/or Time Collected <br /> ❑Project Information <br /> ❑#of Contalner(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 Calscience Tedlar®Bag*) <br /> ❑Leaking (transferred into Client's Tedlae Bag*) <br /> ❑Other: <br /> HEADSPACE - Containers with Bubble > 6mm or'/4 inch: <br /> Sample# Container #of Vials Sample# Container ID(s) #of Vials Sample# Container #of Cont. Analysis <br /> ID(s) Received Received 10(s) received <br /> Comments: <br /> "Transferred at Client's request. Initial/ Date: V=P- 12 /03/11 <br /> SOP T100 090(08/31/11) <br />