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Page 26 of 26 <br /> 1 � a+�az WORK ORDER #: 11 -05-E 05 ID �I <br /> :a IN m7lo NMI F-Jl wam <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑ Sample(s)/Container(s) NOT RECEIVED but listed on COC �— �� ae� oc S <br /> ❑Sample(s)/Container(s) received but NOT LISTED on COC <br /> ❑ Holding time expired — list sample 1D(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 /> �21`Sample label(s) do not match COC — Note in comments <br /> lTSample 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 11)(s) #of Vials Sample# Container #of Cont. Analysis <br /> ID(s) Received Received ID(s) received <br /> Comments: <br /> Transferred at Client's request. Initial 1 Date: IL-05 I L/11 <br /> SOP T100_090(0 911 719 0) <br />