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• mm Page 21 of 24 <br /> iq al cience WORK ORDER #: M ® � 0 © —El 0 91 Q- <br /> ,=n vrron menta f <br /> laboratories, Inc. FZM Cooler of —4 <br /> CLIENT: V' Q rF DATE: 2- I ©� / of <br /> TEMPERATURE: (Criteria: 0.0°C-6.0°C, not frozen) <br /> Temperature —J.-LOC - 0.20C (CF) = L . � OC Blank ❑ 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: <br /> � Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: n'L <br /> ❑ Sample ❑ ❑ No (Not Intact) Not Present Initial: S/v <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody(COC)document(s)received with samples........ C°1 ❑ ❑ <br /> COC document(s) received complete........................................ ❑ 10 ❑ <br /> Sampler's name indicated on COC,...................................... ... ❑ ❑ Z <br /> Sample container label(s) consistent with COC........................... d ❑ ❑ <br /> Sample container(s) intact and good condition............................ ❑ ❑ <br /> Correct containers and volume for analyses requested................. D ❑ ❑ <br /> Analyses received within holding time...................................... ❑ ❑ <br /> Proper preservation noted on sample label(s)............................. EW ❑ ❑/ <br /> Volatile analysis container(s)free of headspace.......................... El u <br /> Tedlar bag(s)free of condensation.......................................... ❑ ❑ d <br /> CONTAINER TYPE: <br /> Solid: M4ozCGJ 08ozCGJ ❑16ozCGJ ❑Sleeve ❑EnCores® ❑TerraCores® ❑ <br /> x <br /> Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB 11125AGBh ❑125AGBpo4 ❑1AGB MIAGBna2 <br /> ❑1AGBs 0500AGB 0500AGBs 0250CGB ❑250CGBs 91PB 1:1500PB ❑500PBna ❑250PB <br /> 13250PBn ❑125PB 0125PBznna 0100PBsterile 0100PBna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar® ❑Summa® ❑ Checked/Labeled by: <br /> Container: C:Clear AAmber P:Poly/Plastic G:Glass J:Jar B:Bo01e Reviewed by: IAA. AC <br /> . <br /> Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH po.:H3M s:HzSO, znna:ZnAo,+NaOH Scanned by: <br /> SOP T1 00 090(11/20/08) <br />