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Page 18 of 19 <br /> F6ttit4rr► <br /> j�wvtrc+nrerrtst WORK ORDER #:RUA <br /> ,a�a+atxarle�, Mme. t <br /> - - - - Cooler L of <br /> CLIENT: S/4l C DATE: 05 /2(o/l 1 j <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0oC-6.0°C, not frozen) <br /> Temperature 0 .�oC + 0.5°C (CF) = / .�OC Ia Blank ❑ 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 /> CJU/STODY SEALS INTACT: ' <br /> Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: �( _ <br /> ❑ Sample ❑ ❑ No (Not Intact) J;Aot Present Initial: ecu, <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... ❑ ❑ <br /> COC document(s) received complete...................................................z ❑ ❑ <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...................................................... pf ❑ ❑ , <br /> Sample container label(s) consistent with COC...................................... ❑ ❑ <br /> Sample container(s) intact and good condition....................................... d ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested................ p' ❑ ❑ t <br /> Analyses received within holding time.................................................. 1� ❑ ❑ <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 container(s)free of headspace..................................... ❑ - ❑ p! <br /> Tedlar bag(s) free of.condensation....................................................... ❑ ❑ <br /> CONTAINER TYPE: <br /> Solid: 1]4ozCGJ 08ozCGJ ❑16ozCGJ Oleeve ❑EnCorese ❑TerraCoreso ❑ <br /> Water: ❑VOA OVOAh ❑VOAna2 0125AGB 0125AGBh ❑125AGBp 01AGB 01AGBna2 01AGBs <br /> 0500AGB ❑500AGJ 0500AGJs 11250AGB 0250CGB 0250CG13s 01PB 11500PB 0500PBna <br /> ❑250PB ❑250PBn 0125PB 0125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ , <br /> Air: ❑TedlaO ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by:/�1�> <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: V'✓/ <br /> Preservative: h:HCL n:HNO3 na2:Na2S20a na:NaOH p:H9PO4 s:H2SO4 znna:ZnAce+NaOH f:Fleld-filtered Scanned by: ot V <br /> SOP T709_990(93/14Ht) <br />