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Page 25 of 26 <br /> will <br /> �Iaraoe <br /> ������, � WORK ORDER #: 1 1 'O5'0 0 0 <br /> ' � vretarlaa, pne. • ' Cooler of <br /> ' CLIENT: DATE: 05 LO 5111 <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: O.00C-6.0°C, notfrozen) <br /> iTemperature ti •I oC + 0.5°C (CF) = 4l • 6 OC ank ❑ 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 Initial: <br /> CU DY SEALS INTACT: <br /> Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) Not Present Initial: <br /> � <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC)document(s)received with samples. . ...... ......, Pr ❑ <br /> COC documents) received complete................................................... ❑ ❑ <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 /> ....� ❑ ❑ <br /> Sample container(s) intact and good condition...................................... <br /> .� <br /> ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... ❑ ❑ <br /> Analyses received within holding time.................................................. ❑ ❑ <br /> ' pH / Res. Chlorine/ Diss. Sulfide/ Diss. Oxygen received within 24 hours... ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ <br /> Unpreserved vials received for Volatiles analysis <br /> Volatile analysis containers)free of headspace..................................... ❑ ❑ <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE: If <br /> Solid: 04ozCGJ 08ozCGJ 016ozCGJ Sleeve ( _) ❑EnCores® ❑TerraCorefs 0 <br /> Water: ❑VOA ❑VOAh 0VOAna2 0125AGB 0125AGBh ❑125AGBp 01AGB 01AGBna2 ❑1AtBs <br /> ❑500AGB ❑500AGJ ❑500AGJs 0250AGB ❑250CGB 0250CGBs ❑1PB 0500PB ❑500PBna <br /> ❑250PB 0250PBn 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar° ❑Summa® Other: ❑ Trip Blank Lot#: Labelled/Checked by: l✓ <br /> Container: C:Clear A:Amber P: Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E: Envelope Reviewed by: <br /> QC­ <br /> Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3P01 s:H2S0< znna:ZnAc2+NaOH f:Field-filtered Scanned by: <br /> SOP T10008 (03124111) <br />