Laserfiche WebLink
Page 36 of 37 ' <br /> /once <br /> v/ronmenta/ WORK ORDER #: 11 -05-® El R1 [] <br /> aboratarltes, lnc. ' <br /> - 31M-A Cooler L of <br /> CLIENT: Sf}ZC DATE: 05161(111 ' <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0 OC—6.0'C, not frozen) <br /> Temperature _� . 2— OC + 0.5 oC (CF) = 3 ._7L_OC '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 /> CU <br /> .WDY SEALS INTACT: <br /> O`-ouler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) 2 Not Present Initial: _ \f L ' <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody(COC) document(s) received with samples................... 121� ❑ ❑ <br /> COC document(s) received complete................................................... ❑ ❑ <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...................................................... �/ ❑ ❑ <br /> Sample container label(s) consistent with COC...................................... ❑ ❑ ' <br /> Sample container(s) intact and good condition.................................. .... ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested................ p ❑ ❑ <br /> Analyses received within holding time.................................................. B ❑ ❑ <br /> pH /Res. Chlorine/Diss. Sulfide/ Diss. Oxygen received within 24 hours... ❑ ❑ pf , <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ ' <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE: <br /> Solid: ❑4ozCGJ ❑8ozCGJ ❑16ozCGJ Sleeve ( S ) ❑EnCores° ❑Terracores° ❑ <br /> Water: ❑VOA ❑VOAh 0VOAna2 0125AGB 0125AGBh ❑125AGBp ❑1AGB ❑1AGBna2 01AGBs ' <br /> ❑500AGB ❑500AGJ 0500AGJs 11250AGS 0250CGB 0250CGBs 01PB 1-1500PB ❑500PBna <br /> ❑250PB 0250PBn 0125PB 0125PBznna 0100PJ ❑100PJna2 ❑ ❑ ❑ ' <br /> Air: ❑Tedlar® ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br /> Container: C:Clear A:Amber P:Plastic G: Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: <br /> Preservative: h:HCL n:HNOa na2:N22S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: I <br /> SOP TIDO-090 10 312 4111) <br />