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Page 28 of 28 <br /> WORK ORDER M i 1 -09-0 0 R1 19 <br /> �'�ratarlea, tn+�. <br /> r • ' Cooler_ of_ <br /> CLIENTS DATE: 09 /2 -/l I <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.00C-6.00C, not frozen) <br /> Temperature / b °C + 0.5°C (CF) = 2 . I °C Ptiank ❑ 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 Initial: l <br /> CUSTODY SEALS INTACT: <br /> CrCooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) VNot Present Initial: Afz_ <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody(COC)document(s)received with samples................... ❑ ❑ <br /> COC document(s)received complete................................................... ❑ ❑ <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 /> Sample container label(s) consistent with COC...................................... 2( ❑ ❑ <br /> Sample container(s) intact and good condition....................................... V ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested................ li ❑ ❑ <br /> Analyses received within holding time.................................................. ❑ ❑ <br /> pH/ Res. Chlorine/ Diss. Sulfide/ Diss. Oxygen received within 24 hours... ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... 011 ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... C2r/ ❑ ❑ <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ 2r' <br /> CONTAINER TYPE: <br /> Solid: 04ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ❑EnCoreso ❑TerraCoree ❑ <br /> Water: ❑VOA �Z(VOAh ❑VOAna2 0125AGB 0125AGBh 0125AGBp 01AGB 111AGBna2 01AGBs <br /> 0500AGB 2f500AGJ 0500AGJs 0250AGB 0250CGB 0250CGBs 01PB 0500PB 11500PBna <br /> 0250PB XJ250PBn 11125P6 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlare OSummao Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziplo (Resealable Bag H:Envelope Reviewed by. <br /> Preservative: h:HCL n:HNO3 na2:N82S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: � <br /> SOP T100 090(03124111) <br />