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Page 17 of 17 <br /> fiarrc� - <br /> uta'vrrmaarrl�t nn <br /> aTao atortea, tree. WORK ORDER #: 11 -0 5- <br /> SAMPLES - CONTAINERS & LABELS: Comments: ' <br /> ❑Sample(s)/Container(s) NOT RECEIVED but listed on COC (—) 19) I e(W ed ot S <br /> ❑Sample(s)/Container(s) received but NOT LISTED on COC 56 -3-t—� d4,fQ a44 t „a <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 /> ❑ Improper preservative used — list test <br /> ❑No preservative noted on COC or label — list test& notify lab <br /> ❑ Sample labels illegible —note test/container type <br /> ;7 Sample label(s) do not match COC — Note in comments ' <br /> CXSample ID <br /> ❑ Date and/or Time Collected <br /> ❑ Project Information ' <br /> ❑# of Container(s) <br /> ❑Analysis ' <br /> ❑Sample container(s) compromised — Note in comments <br /> ❑Water present in sample container <br /> ❑ Broken ' <br /> ❑ Sample container(s) not labeled <br /> ❑ Air sample container(s) compromised— Note in comments <br /> ❑Flat , <br /> ❑Very low in volume <br /> ❑ Leaking (Not transferred - duplicate bag submitted) ' <br /> ❑Leaking (transferred into Calscience Tedlar° Bag*) <br /> ❑ Leaking (transferred into Client's Tedlar® Bag*) <br /> ❑ Other: ' <br /> HEADSPACE — Containers with Bubble > 6mm or %4 inch: <br /> Sample# Container #of Vial& Sample# Container ID(s) #of Vials Sample At Container #of Cont Analysis t <br /> ID(a) Received Received ID(a) received <br /> t <br /> Comments: <br /> *Transferred at Client's request. Initial / Date: I L05 I YI1 I <br /> SOP T100_090(09/17110) <br /> i <br />