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Page 29 of 29 , <br /> *„ WORK ORDER #: <br /> 4FAI 0 r <br /> 91 LTJ . <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑Sample(s)/Container(s) NOT RECEIVED but listed on COC <br /> ❑Sample(s)/Container(s) received but NOT LISTED on COC <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 /> ZSample label(s) do not match COC—Note in comments cQIICL rm m is 09. o <br /> IdSample ID 2Z� rDllerko„ d ;S o5bg('( ' <br /> la'Date and/or Time Collected -4C Vis) Pri-. S9-42-- 3' <br /> ❑ Project Information OSlx6/It 14 GS <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 I <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 1/d Inch: <br /> Sample# CwNin.f 4 Vial. Sample# Cont.mo,10(a) #o/Vials $am le# Contains. #of Cont. <br /> ID(a) Received Received p Malysis <br /> ID(s) reeeivetl <br /> Comments: <br /> *Transferred at Client's request. Initial / Date: 1 ( OS /Ig/11 ' <br /> SOP T100_090(09/17/10) <br /> t <br />