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Page 17 of 17 <br /> Er,vino" a1 O �i <br /> �RWORK ORDER 11 05 <br /> Lei <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 �(� r� -- -JL1& 6411- t <br /> ❑ Holding time expired — list sample ID(s) and test yttic��c ed <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 /> .PSample label(s) do not match COC — Note in comments <br /> 08ample ID <br /> ❑ Date and/or Time Collected <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® Bag*) <br /> ❑ Other: <br /> HEADSPACE - Containers with Bubble > 6mm or 1/4 inch: <br /> Sample# Container #of Vials Sample# Container I©(s) #of Vials Sample# Container #of Cont, Analysis <br /> EU(s) Received Received ID(s) received <br /> Comments: <br /> *Transferred at Client's request. Initial 1 Date: It-051 11 <br /> SOP T100_090(09117/10) <br />