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• • Page 21 of 22 <br /> $ WORK ORDER #: 0❑ ®40 0-0 ® 0 <br /> %M04ioronmental <br /> afarorarcirites, firm PUT ky,1:2 4 MAN 0 • M • ' <br /> CHAIN OF CUSTODY (COC): Comments: <br /> ❑ Not relinquished by client- no signature <br /> ❑No date/time relinquished <br /> ❑COC not received with samples -notify PM <br /> ❑ Incomplete information regarding samples, tests, etc. <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> Samples NOT RECEIVED but listed on COC 5> rc\V \Z-NV- kn4sT�q <br /> ❑ Samples received but NOT LISTED on COC 2 <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 Y< inch: <br /> Sample Container #of Vials Sample Container #of Vials Sample Container 7t of RSK or, <br /> # IDs Received # IDs Received # ID S) co,or Do or <br /> ( ( ) ( ) Organic Lead <br /> Received <br /> Comments: <br /> Initial / Date �) <br /> SOP T100_081 (09/19/08) <br />