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Page 34 of 34 <br /> r V,it WORK ORDER #: 11 -05-El 0 F1 P <br /> • • <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑Samples)/Container(s) NOT RECEIVED but listed on COC (�N,6 ) I <br /> ❑ Sample(s)/Container(s) received but NOT LISTED on COC ftp Y tl-..e <br /> ❑ Holding time expired- list sample ID(s) and test <br /> ❑ Insufficient quantities for analysis - list test ��Z�- ' COLAS <br /> ❑ Improper container(s) used - list test ��+� �� S l zL+ <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 /> V�ample label(s) do not match COC - Note in comments <br /> 0 Sample 1D <br /> 10 Date and/or Time Collet d <br /> ❑ Project Information <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° Baggy`) <br /> ❑Other: <br /> HEADSPACE — Containers with Bubble > 6mm or 114 inch: <br /> Container #of vials Sam le# Container ID(sf #of vials Sample# Container #of Cont. Analysis <br /> Sample# ID(sf Received p Received ID(s) received <br /> Comments: <br /> `Transferred at Client's request. Initial 1 Date: `IL 05 14111 <br /> SOP T100_090(09117110) <br />