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Page 20 of 20 ' <br /> ,t„ WORK ORDER #A 1 -© ID-ED Q ® ® ' <br /> MA ■ . nelyjrillzff . <br /> SAMPLES - CONTAINERS & LABELS: Comments: ' <br /> ❑Sam ple(s)/Contalner(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 /> dSample label(s) do not match COC —Note in comments ( 1 11 cdllec�rm f m i S OR YO <br /> . [JSample ID cderkan JeJe is oC-,b k(it . <br /> 1�'Date and/or Time Collected -)< F",JA-A a4 SCi-4�- 3'I <br /> ❑Project Information 0Sy-,16/1f 14 G5 <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 ' <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 % inch: t <br /> Sample# Container of Vials <br /> Sample Container lD(a) eor Vials Sample container of Cont.to($) Receivetl Anal aia <br /> Receivetl ID(e) received Y <br /> Comments: ' <br /> `Transferred at Client's request. Initial / Date: VT 0S ayi 1 <br /> SOP T100_090(09/1 T/10) <br /> 1 <br />