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Page 16 of 17 <br /> 146waiano WORK ORDER #: 11 -05. — <br /> 0 0 0 <br /> 1 ui►'€�irrma�ttei <br /> eiaorarories, Inc. - • - Cooler __L of <br /> CLIENT: A T DATE: O5 �0Zl 1 <br /> 1 TEMPERATURE: Thermometer ID: SC! (Criteria: 0.0°C —6.0°C, notfrozen) <br /> Temperature ti • I OC + 0.50C (CF) = 4X • G eCank ❑ Sample <br /> ❑ Sample(s)outside temperature criteria(PM/APM contacted by: ). <br /> 1 ❑ 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 /> 1 Initial: <br /> Ambient Temperature: ❑ Air ❑ Filter <br /> ESample <br /> EALS INTACT: <br /> ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A initial: <br /> ❑ ❑ No (Not Intact) � Not Present Initial: L <br /> SAMPLE CONDITION: Yes No N/A <br /> 1 ❑ <br /> Chain-of-Custody(COC) document(s)documents) received with samples................... � ❑ <br /> COC document(s) received complete...................................................� ❑ <br /> 1 El <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 /> El <br /> Sampler's name indicated on COC....................................................... <br /> 1 ❑ ❑ <br /> Sample container label(s) consistent with COC......................................� <br /> Sample container(s) intact and good condition.......................................� <br /> ❑ ❑ <br /> 1 ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested. <br /> Analyses received within holding time..................................................Z� ❑ <br /> pH / Res. Chlorine / Diss. Sulfide / Diss. Oxygen received within 24 hours... ❑ ❑ <br /> 1 Proper preservation noted on COC or sample container.......................... ❑ ❑ <br /> ' ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ '� <br /> Tedlar bag(s)free of condensation..........................................I........... ❑ ❑ <br /> 1 CONTAINER TYPE: ! <br /> Solid: ❑4ozCGJ ❑8ozCGJ 016ozCGJ Sleeve (,�) ❑EnCoree ❑TerraCore�' `❑ <br /> 1 Water: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB ❑125AGBh 0125AGBp 01AGB ❑1AGBna2 ❑1A'tBs <br /> ❑500AGB 0500AGJ 11500AGJs 0250AGB 0250CGB 0250CGBs 01PB 0500PB ❑500PBna <br /> 0250PB 0250PBn 0125PB ❑125PBznna ❑100PJ 0100PJna2 ❑ ❑ ❑ <br /> 1 Air: ❑Tedlaro ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: � <br /> Container: C:Clear A:Amber P: Plastic G:Glass J:Jar B:Bottle Z:ZiploclResealable Bag E:Envelope Reviewed by: <br /> 1 Preservative: h:HCL n:HNO3 nas:Na2S20, na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: <br /> SOP rlus_os i031241111 <br /> 1 <br />