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Page 28 of 29 <br /> > <br /> WORK ORDER M -Fo <br /> tddes� Inc. <br /> ' O Cooler / of <br /> CLIENT: ] l G DATE: <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0°C—6.0°C, not frozen) <br /> Temperature 2 . .3 °C + 0.5°C (CF) = -X OC 52""Blank 1771 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: 1 <br /> CUSTODY SEALS INTACT: y <br /> RI/Cooler ❑ El No (Not Intact) r-1NotPresent ❑ N/A Initial: <br /> ❑ Sample ❑ ❑- No (Not Intact) o Not Present Initial: C' <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s)received with samples................... Er ❑ ❑ , <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..................................................... d p ❑ <br /> Sample container label(s) consistent with COC...................................... ❑ p' ❑ . <br /> Sample container(s) intact and good condition............ .... 0 ❑ El...................... <br /> Proper containers and sufficient volume for analyses requested............... . ❑ ❑ <br /> Analyses received within holding time................................................. <br /> pH / Res. Chlorine/ Diss. Sulfide/ Diss. Oxygen received within 24 hours... ❑ ❑ p' <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...................................................... ❑ ❑ j <br /> CONTAINER TYPE: <br /> Solid: 17714ozCGJ ❑8ozCGJ ❑16ozCGJ . Aleeve (__S_) ❑EnCorese ❑TerraCorese ❑ <br /> Water: ❑VOA ❑VOAh 0VOAna2 ❑125AGB ❑125AGBh ❑125AGBp 131AGB ❑1AGBna2 111AGBs <br /> ❑500AGB 11500AGJ 0500AGJs 7250AGB 1771250CGB ❑250CGBs 01PB 0500PB ❑500PBna <br /> ❑250PB ❑250PBn 0125PB ❑125PBznna ❑100PJ 1J100PJna2 ❑ ❑ ❑ <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: X05(— <br /> Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4'znna:ZnAc2+NaOH f:Field-filtered Scanned by: <br /> SOP T100 090(03/24/11) <br />