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Page 36 of 36 <br /> Cats��e�n�e <br /> :``r �rofrmerrt�t WORK ORDER M 12-03-M 0 0 0 <br /> Eal6or�lrrales, Inc. <br /> ' Cooler I of 2 <br /> CLIENT: EKT DATE: 031 112 <br /> TEMPERATURE: Thermometer ID: SC3 (Criteria: 0.0°C—6.0°C, not frozen) <br /> Temperature Z . Z °C - 0.3°C (CF) = 1 . 01 °C � ank ❑ 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: <br /> CUSTODY SEALS INTACT: <br /> Cooler ❑' ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) 2(Not Present Initial: <br /> SAMPLE CONDITION: Yes No NIA <br /> Chain-Of-Custody (COC) document(s) received with samples................... Z ❑ ❑ <br /> COC document(s) received complete...................................................J? ❑ ❑ <br /> ❑ Collection date/time,matrix,andlor 9 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...................................... or ❑ Cl <br /> Sample container(s) intact and good condition....................................... !- ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested..—........... d ❑ ❑ <br /> Analyses received within holding time................•----............................. PI ❑ ❑ <br /> pH 1 Res. Chlorine I Diss. Sulfide f Diss. Oxygen received within 24 hours... ❑ ❑ <br /> Proper preservation noted on COC or sample container................... 2 ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ G <br /> Tedlar bag(s)free of condensation........................................................ ❑ ❑ l� <br /> CONTAINER TYPE: <br /> Solid: 04oZCGJ ❑BozCGJ ❑16oZCGJ ❑Sleeve ( ) ❑EnCores�' ❑TerraCoreso ❑ <br /> Water: L-J VOA ❑VOAh ❑VOAna,2 ❑125AGB ❑125AGSh ❑125AGBp ❑1 AGB ❑1 AGBna2 ❑1 AGl3s <br /> ❑500AGB Y500AGJ ❑500AGJs ❑250AGB ❑250CGB ❑250CGBs E11PB ❑1 Pana ❑500PB <br /> 17250P13 ❑250PBn ❑125PB ❑125PBznna ❑100PJ ❑100PJnaz ❑ ❑ ❑ <br /> Air: ❑Tedlar' ❑Summa` Other: ❑ Trip Blank Lot#: Labeled/Checked by: Y <br /> Container: C:Clear A:Ambor P.Plastic G:Glass J:Jar B:Bottle Z:ZiploclResealable Bag E:Envelope Reviewed by: <br /> Preservative: h:HCL n:HNU3 nar:Na,s2o3 na:Na OH p:H3PQ 3:HxSoA u:Ultra pure znna:ZnAcz+NaoH f:Filtered Scanned by: <br /> SOP T100_090(12106111) <br />