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%,ff. �irr�r <br />iron- Mantel <br />CLIENT: <br />%v0 e%2-/ <br />Page 11 of 11 <br />WORK ORDER #:12-05-4 L� IBJ LJ_ <br />fzr .f <br />�/e y <br />DATE: 05//16 112 <br />TEMPERATURE: Thermometer ID: SC2 (Criteria: 0.0 °C — 6.0 °C, not frozen) <br />Temperature OC - 0.3 °C (CF) _°C El Blank El Sample <br />11 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:.2"Air ❑ Filter Initial: <br />IT— <br />CUSTODY SEALS INTACT: <br />❑ Cooler ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br />❑ Sample ❑ ❑ No (Not Intact) lot Present Initial: 1 <br />SAMPLE CONDITION: Yes <br />No <br />NIA <br />Chain -Of -Custody (COC) document(s) received with samples....................e <br />❑ <br />❑ <br />COC document(s) received complete ......................................... <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 />Ell" <br />❑ <br />❑ <br />Sample container label(s) consistent with COC ....................................... <br />I' <br />❑ <br />❑ <br />Sample container(s) intact and good condition ....................................... <br />;dam <br />❑ <br />❑ <br />Proper containers and sufficient volume for analyses requested ................ <br />❑ <br />❑ <br />Analyses received within holding time .................................................. <br />❑ <br />❑ <br />pH / Res. Chlorine / Diss. Sulfide / Diss. Oxygen received within 24 hours... <br />❑ <br />❑ <br />4!r <br />Proper preservation noted on COC or sample container .......................... <br />❑ <br />❑ <br />p" <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile analysis container(s) free of headspace..................................... <br />❑ <br />❑ <br />Tedlar bag(s) free of condensation..................................................... <br />❑ <br />❑ <br />CONTAINER TYPE: <br />Solid: 04ozCGJ 08oZCGJ ❑16ozCGJ ❑Sleeve (�) ❑EnCores® ❑TerraCores® ❑ <br />Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB 0125AGBh 0125AGBp <br />01AGB <br />❑1AGBna2 01AGBs <br />0500AGB 0500AGJ 0500AGJs 0250AGB 0250CGB 0250CGBs <br />01PB <br />011313na 0500PB <br />❑25OPS 0250PBn 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ <br />❑ <br />❑ <br />Air: 2 t edlare ❑Summa Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br />Container. Q Clear A: Amber P: Plastic G: Glass J: Jar B: Bottle Z: ZiploclResealable Bag E: Envelope <br />Reviewed by: <br />Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3PO4 s: H2SO4 u: Ultra -pure znna: ZnAc2+NaOH <br />f. Filtered Scanned by: <br />SOP T100_080 (12/06/11) <br />