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Page 28 of 29 <br /> �nn <br /> WORK ORDER #: -❑� -� <br /> ' • - Cooler / of <br /> CLIENT: Sal c DATE: <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0°C—6.0°C, not frozen) <br /> Temperature 3 OC + 0.5°C (CF) = 2 OC It"Blank ❑ Sample <br /> ❑ Sample(s)outside temperature criteria (PM/APM contacted by: ). <br /> ❑ Sample(s)outside temperature criteria but received on icelchilled on same day of sampling. <br /> ❑ Received at ambient temperature, placed on ice for transport by Courier. YL <br /> Ambient Temperature: ❑ Air ❑ Filter Initial: <br /> CUSTODY SEALS INTACT: YL- <br /> El/cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ' ❑ Sample ❑ ❑ No (Not Intact) 12(NOt Present Initial: P( <br /> SAMPLE CONDITION: Yes No N/A <br /> 1 Chain-Of-Custody (COC) document(s) received with samples................... Z 11 ❑ <br /> COC document(s) received complete................................................... E� ❑ ❑ <br /> ❑ Collection date/time,matrix,and/or#of"containers logged in based on sample labels. <br /> ❑ No analysis requested. ❑ Not relinqufshed. ❑ No date/time relinquished. <br /> Sampler's name indicated on COC...................................................... d ❑ ❑ <br /> Sample container label(s) consistent with COC..................................I... ❑ d ❑ . <br /> Sample container(s) intact and good condition...................................... JZ ❑ ❑ <br /> ' Proper containers and sufficient volume for analyses requested............... 0 ❑ ❑ <br /> Analyses received within holding time................................................. ler ❑ ❑ <br /> pH / Res. Chlorine/ Diss. Sulfide/ Diss. Oxygen received within 24 hours... ❑ ❑ la <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ fd <br /> 1 ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..:................................... ❑ ❑ Pj <br /> 1 Tedlar bag(s) free of condensation...................................................... ❑ 0 If <br /> CONTAINER TYPE: _/ <br /> Solid: 04ozCGJ 08ozCGJ ❑16ozCGJ . Aleeve ( S ) ❑EnCores® ❑TerraCorese ❑ <br /> 1 Water: ❑VOA ❑VOAh ❑VOAnaZ 0125AGB ❑125AGBh 0125AGBp 01AGB 01AGBna2 01AGBs <br /> ❑500AGB 11500AGJ 0500AGJs ❑250AGB 0250CGB 0250CGBs 01PB ❑500PB ❑500PSna <br /> ❑250PB 0250PBn 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlaro ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: 1_ <br /> ' Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:ZiploGResealable Bag E:Envelope Reviewed by: i.05c— <br /> Preservative: h:HCL n:HNO, na,:Na,S,Oz na:NaOH p:H3PO4 s:H2SO4 inna:ZnAc,+NaOH f:Field-filtered Scanned by: W7(7 <br /> SOP T100_090(0=01 t) <br />