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RECEIVEDPage 11 of 11 4wgalcJar7 1vironmentt`a/ FEB 16 2016 WORK ORDER #: 12-08-10 F� [�] 0 Bfaorstor�t�Ei HF�►.TF� Cooler / of / CLIENT: IfT;�- DATE: O81a-7112 TEMPERATURE: Thermometer ID: SC2 (Criteria: 0.0°C–6.0°C, not frozen) Temperature l .__q__ OC - 0.3°C (CF) = / - & °C F- Blank ❑ Sample ❑ Sample(s) outside temperature criteria (PM/APM contacted by: ). ❑ Sample(s) outside temperature criteria but received on ice/chilled on same day of sampling. ❑ Received at ambient temperature, placed on ice for transport by Courier. Ambient Temperature: ❑ Air ❑ Filter Initial: CUSTODY SEALS INTACT: ❑ Cooler ❑ ❑ No (Not Intact) p"ot Present ❑ N/A Initial: ❑ Sample ❑ ❑ No (Not Intact) zNot Present Initial: v SAMPLE CONDITION: Yes No N/A Chain-Of-Custody (COC) document(s) received with samples................... if ❑ ❑ COC document(s) received complete................................................... VI` ❑ ❑ ❑ Collection date/time, matrix, and/or#of containers logged in based on sample labels. ❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. m Sampler's name indicated on COC...................................................... ❑ ❑ U Sample container label(s) consistent with COC...................................... ❑ ❑ Sample container(s) intact and good condition.......................................;?' ❑ ❑ Proper containers and sufficient volume for analyses requested................ ❑ ❑ Analyses received within holding time.................................................. ❑ ❑ pH / Res. Chlorine/ Diss. Sulfide / Diss. Oxygen received within 24 hours... ❑ ❑ Pf Proper preservation noted on COC or sample container.......................... ❑ ❑ ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s) free of headspace..................................... ❑ ❑ Tedlar bag(s) free of condensation...................................................... ❑ ❑ CONTAINER TYPE: Solid: ❑4ozCGJ 08ozCGJ 016ozCGJ 4 1l leeve ( � ) ❑EnCores® ❑TerraCoreso ❑ Water: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB 0125AGBh 0125AGBp ❑1AGB 01AGBna2 ❑1AGBs ❑500AGB ❑500AGJ ❑500AGJs ❑250AGB ❑250CGB ❑250CGBs ❑1PB ❑1PBna 0500PB 1:1250PB ❑250PBn ❑125PB ❑125PBznna ❑100PJ 0100PJna2 ❑ ❑ ❑ Air: ❑Tedlar° ❑Summa Other: ❑ Trip Blank Lot#: Labeled/Checked by: I,+v� Container: C:Clear A:Amber P: Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by:�— Preservative: h:HCL n:HNO;na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by: SOP 7100_090(12106111)