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• 0 Page 22 of 24 ' <br /> WORK ORDER #: O8-C!7 0-2 [J ® 0 <br /> nvtronrnenw; <br /> ,Laboratodes, tnc: <br /> CHAIN OF CUSTODY (COC): Comments: <br /> ❑ Not relinquished by client- no signature !kca,;VQJ �, ,. ]`M 2 Pd <br /> ❑ No date/time relinquished <br /> ❑COC not received with samples — notify PM U I <br /> 10 Incomplete information regarding samples, tests, etc. <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑Samples NOT RECEIVED but listed on COC ' <br /> ❑Samples received but NOT LISTED on COC <br /> ❑Holding time expired—list sample ID(s)and test <br /> ❑ Insufficient quantities for analysis—list test <br /> ❑Improper container(s) used— list test <br /> ❑No preservative noted on label —list test and notify lab ' <br /> ❑Sample labels illegible—note test/container type <br /> ❑Sample labels do not match COC — Note in comments <br /> ❑Sample ID ' <br /> ❑ Date and Time Collected <br /> ❑ Project Information , <br /> ❑# of containers <br /> ❑Sample containers compromised — Note in comments <br /> ❑ Leaking <br /> ❑ Broken <br /> ❑Without Labels <br /> ❑ Other: <br /> HEADSPACE — Containers with Bubble > 6mm or % inch: <br /> Sample Container #of Vials Sample Container #of Vials Sample Container a of RSK or ' <br /> # ID(s) Received # ID(s) Received # IDs CO2 or Door <br /> ( ) Organic Lead <br /> Received <br /> Comments: <br /> Initial / Date ti- K _(5,p <br /> SOP T700_081(09/19/08) <br />