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• • Page 20 of 22 <br /> a!(scfarre WORK ORDER #: 09-19 ©-E] <br /> ALab-loratorfes. inc. ' ITA 10 ' 1 • Cooler k of t <br /> CLIENT: '4DATE: K- L 9� <br /> TEMPERATURE: (Criteria: 0.0°C-6.0°C, not frozen) <br /> Temperature .a OC - 0.20C (CF) _ .� °C 2rBlank ❑ 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: W' <br /> CUSTODY SEALS INTACT: <br /> 2Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: y 'J <br /> ❑ Sample ❑ ❑ No (Not Intact) !T`NNot Present Initial: <br /> SAMPLE CONDITION: Yes/ No N/A <br /> Chain-Of-Custody(COC) document(s) received with samples..... El... C—�7/ ❑ <br /> COC document(s) received complete...... ......... .................. ❑ ❑ <br /> Sampler's name indicated on COC .- . .. ............. ............... ❑ ❑ <br /> Sample container label(s) consistent with COC.......... .... -........ ❑/ (� ❑ <br /> Sample container(s) intact and good condition............................ C ❑ ❑ <br /> Correct containers and volume for analyses requested.... ............ 2— ❑ ❑ <br /> Analyses received within holding time.... ...................... ......... IR ❑ ❑ <br /> Proper preservation noted on COC or sample container............... ❑ ❑ �/ <br /> Volatile analysis container(s) free of headspace ....... .......... ..... ❑ ❑ <br /> Tedlarbag(s) free ofcondensation..... _._._........................... ❑ ❑ <br /> CONTAINF�6t TYPE: <br /> Solid: ❑4400zCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ❑EnCores® ❑TerraCores® ❑ <br /> Water: ❑VOA ❑VOAh 0VOAna2 13125AGB 0125AGBh 0125AGBpo4 01AGB 01AGBna2 <br /> 01AGBs 0500AGB 0500AGBs ❑250CGB 0250CGBs 01PB ❑500PB ❑500PBna 0250PB <br /> 0250PBn ❑125PB 11125PBznna ❑100PBsterile 11100PBna2 ❑ ❑ ❑ <br /> Air: ❑TedlarOO ❑Summa ie ❑ 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, nac:NaszO, na:NaOH po<:H,PO, s:HaSO, znna:ZnAc:+NaOH Scanned by: <br /> SOP T100_090(17/10108) <br />