Laserfiche WebLink
Page 12 of 12 <br />WORK ORDER M-1 2.04-m U1 0 <br />A�Ial� ,ixri A ox <br />�1fQ,�F <br />CLIENT: C^P-Ax/o &-r-r DATE n41 _Z12 <br />TEMPERATURE: Thermometer ID: SC2 (Criteria: 0.0°C -6.00C, not frozen) <br />Temperature °C - 0.3 °C (CF) = a °C ❑ Blank ❑ 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:ZAir ❑ Filter Initial: fr <br />CUSTODY SEALS INTACT: �+ <br />❑ Cooler ❑ ❑ No (Not Intact) EAot Present ❑ N/A Initial: 1 f <br />❑ Sample ❑ ❑ No (Not Intact) PfNot Present Initial: <br />SAMPLE CONDITION: Yes <br />No <br />N/A <br />Chain -Of -Custody (COC) document(s) received with samples ............ . .....,� <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. ElITJ Not relinquished. No date/time relinquished. <br />Sampler's name indicated on COC ...................................................... <br />❑ <br />❑ <br />Sample container label(s) consistent with COC ...................................... <br />J2"', <br />❑ <br />❑ <br />Sample container(s) intact and good condition ....................................... <br />lK <br />❑ <br />❑ <br />Proper containers and sufficient volume for analyses requested ................ <br />❑ <br />❑ <br />Analyses received within holding time.; ................................................ <br />5K <br />❑ <br />pH / Res. Chlorine / Diss. Sulfide-/ Diss: Oxygen received within 24 hours... <br />❑ <br />❑ <br />Proper preservation noted on COC or sample container .......................... <br />❑ <br />❑ <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 016ozCGJ ❑Sleeve ( ) ❑EnCorese QTerraCores® ❑ <br />Water: ❑VOA ❑VOAh ❑VOAna2 13125AGB 0125AGBh 0125AGBp 01AGB 01AGBna2 01AGBs <br />11500AGB 0500AGJ 13500AGJs 0250AGB 0250CGB 0250CGBs 01PB 01PBna 0500PB <br />0250PB 0250PBn 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br />Air: 12fedlare ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br />Container: C. Clear A. Amber P: Plastic G: Glass J: Jar B: Bottle Z: Tiploc/Resealable Bag 6: Envelope Reviewed by: <br />Preservative: h: HCL n: HNO3 na2:Na28203 na: NaOH p: H3PO4 s: H2SO4 u: Ultra -pure znna: ZnAc2+NaOH f: Fiftered Scanned by:—P-/— <br />SOP <br />y:—P./ <br />SOP T100_090 (12106111) <br />