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• • Page 20 of 22 , <br /> �ls �ara� WORK ORDER #: 09-E E - E] ® 0 ® ' <br /> uir mermen--6 <br /> ab4oratorfea. tt,c. • ' Cooler t of t <br /> CLIENT: V,t DATE:f�NA� Cc\CP� i 1� � <br /> ' <br /> � / , <br /> TEMPERATURE: (Criteria: 0.0°C -6.D°C, not frozen) <br /> Temperature '�5 . 0% °C - 0.2°C (CF) = `�;,) o °C Er�Bl_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 ❑ Metals Only ❑ PCBs Only Initial: <br /> CUSTODY SEALS INTACT: p �� <br /> 2/cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) KrNot Present Initial: <br /> SAMPLE CONDITION: Yes No N/A , <br /> Chain-Of-Custody (COC)document(s) received with samples........ ff/ ❑ ❑ <br /> COC document(s) received complete........................................ 0-' ❑ ❑ <br /> Sampler's name indicated on COC........................................... ❑ ❑ <br /> Sample container label(s) consistent with COC........................... ❑/ L" ❑ , <br /> Sample container(s) intact and good condition............................ p ❑ ❑ <br /> Correct containers and volume for analyses requested................. ❑ ❑ <br /> Analyses received within holding time...................................... Rr, ❑ ❑ <br /> Proper preservation noted on COC or sample container.........___ ❑ ❑ per/ <br /> Volatile analysis container(s)free of headspace.......................... ❑ ❑ (� , <br /> Tedlar bag(s) free of condensation....... _ ........................._.... ❑ ❑ �j/ <br /> CONTAINE�t TYPE: ' <br /> Solid: 4ozCGJ 08ozCGJ 016ozCGJ ❑Sleeve ❑EnCores® ❑TerraCores® ❑ <br /> Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB 0125AGBh 1:1125AGBpo4 01AGB ❑1AGBna2 , <br /> 111AGBs 0500AGB 0500AGBs 0250CGB ❑250CGBs 01PB 0500PB ❑500PBna 0250PB <br /> ❑250PBn 0125PB 0125PBznna 7100PBsterile ❑100PBna2 ❑ ❑ ❑ ' <br /> Air: ❑Tedlar© ❑SuwnmaOO ❑ Checked/Labeled by: <br /> Container: C:Clear A:Amber P:Poly/Plastic G:Glass J:Jar B:Bottle Reviewed by: , <br /> Preservative: h:HCL n:HNO, nai:Na,s,ca na:NaOH po,:H,PO, s:H,SO, znna:ZnAcz+NaCH Scanned by: <br /> SOP T100_090(12/10/08) <br />