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Page 33 of 34 <br /> yCtence nn , <br /> virnnmenttrt WORK ORDER #: 1 1 -05- ® 0 El 4-1 <br /> ahtsrecordee, Inc. ' <br /> ' - :03:112 d 9101 kol kyl I Cooler _L of <br /> CLIENT: -51410 DATE: 0516W ll l <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C-6.0°C, notfrozen) <br /> / <br /> Temperature L.Z oC + 0.50C (CF) = 3 •_0C ld'Blank ❑ Sample <br /> ❑ Sar le(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 Initial: ' <br /> CU/W DY SEALS INTACT: <br /> ''Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ NIA Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) pKNot Present Initial: �f L <br /> i <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... Ell ❑ ❑ <br /> COC document(s) received complete................................................... jd ❑ ❑ <br /> ❑ Collection date/time, matrix, and/or#of containers logged in based on sample labels. <br /> ❑ No analysis requested. ❑ Not relinquished. ❑No date/time relinquished. <br /> Sampler's name indicated on COC...................................................... ❑ ❑ ' <br /> Sample container label(s) consistent with COC...................................... ❑ ❑ <br /> Sample container(s) intact and good condition.......................................&1 ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested................ ❑ ❑ , <br /> Analyses received within holding time.................................................. B ❑ ❑ <br /> pH / Res. Chlorine / Diss. Sulfide/ Diss. Oxygen received within 24 hours... ❑ ❑ Z ' <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ lor <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ f� i <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE: <br /> Solid: 1]4ozCGJ 080ZCGJ ❑16ozCGJ XSIeeve ( S ) ❑EnCoree ❑TerraCores® ❑ <br /> Water: ❑VOA ❑VOAh 0VOAna2 ❑125AGB 0125AGBh 0125AGBp 111AGB ❑1AGBna2 ❑1AGBs <br /> 0500AGB 0500AGJ ❑500AGJs 0250AGB 0250CGB ❑250CGBs 01PB 0500PB ❑500PBna <br /> 0250PB 0250PBn 0125PB 0125PBznna 0100PJ ❑100PJna2 ❑ ❑ ❑ ' <br /> Air: ❑Tedlar° ❑Summa° Other: ❑ Trip Blank Lot#: LabeledlChecked by: <br /> Container: C:Clear A:Amber P:Plastic G: Glass J:Jar B:Bottle Z:Ziploc/Resealabte Bag E: Envelope Reviewed by: <br /> Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2tNaOH f:Field-filtered Scanned by: <br /> SOP T100_090(07124111) <br />