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Page 19 of 19 <br /> rIm"Marrm WORK ORDER M 11 -05-1Z] ❑�i ❑3 <br /> ® <br /> ' 'buratontles, Ine- <br /> PEI 711:11 <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ' ❑ Sample(s)/Container(s) NOT RECEIVED but listed on COC (-If) cone Cho I!, `hM e per <br /> ❑Sample(s)/Container(s) received but NOT LISTED on COC LAS r S ' / S- <br /> ❑ Holding time expired- list sample ID(s) and test <br /> ❑ Insufficient quantities for analysis- list test -/3 e C+S 4q -6 <br /> ❑Improper container(s) used- list test 1 //-O <br /> ❑ Improper preservative used -list test <br /> ❑ No preservative noted on COC or label - list test & notify lab <br /> W❑$ample labels illegible-note test/container type <br /> ' Sample label(s) do not match COC- Note in comments <br /> ('Sample ID <br /> ' mate 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 /> 1 ❑ 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 '/o inch: <br /> Sample# Container #of Vials Sample# Container ln(s) #of Viola Sample# Container 4o Cont Analysis <br /> In(s) Received Recelved In(s) received <br /> Comments: <br /> i *Transferred at Client's request. Initial / Date: PL 05 I y6I <br /> SOP T100_090(09/17110) <br />