Laserfiche WebLink
• • nn Page-1 22 of 24 <br /> �r WORK ORDER #: 08-[71 2❑-[a El F <br /> �rs�lpcierrai� ' <br /> , 7 2J <br /> Lirvfrafrmsrrai <br /> CHAIN OF CUSTODY (COC): Comments: <br /> ❑ Not relinquished by client— no signature �Jr /'e e:,r m.o <br /> ❑ No date/time relinquished �Q'"� �_LLA;l of ra01...f�d( xn C0 ' <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 <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 114 inch: <br /> Sample Container #of Vials Sample Container #of Vials Sample Container of RSK or <br /> CO2 or DO or <br /> # ID(s) Received # ID(s) Received # ID(s) Organic Laad <br /> Received <br /> Comments: <br /> Initial / Date 2- 6 -t5,? <br /> SOP T100_081(09119108) <br />