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Page 29 of 29 <br /> WORK ORDER #: -© D - � ❑ <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑ Sample(s)/Container(s) NOT RECEIVED but listed on COC <br /> ❑Sam pie(s)/Container(s) received but NOT LISTED on COC <br /> ❑ Holding time expired — list sample ID(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 /> Sample label(s) do not match COC— Note in comments ��(� cd�(ec;}iCm �i ►e is Oaf: 0 <br /> L2rSample ID (-Z2) callech'on AcJe is o�-,&R%)1 <br /> I2'Date and/or Time Collected <br /> ❑ Project Information OS��6�lt 14 G5. <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 '/4 inch: <br /> Sample# Container #of Vials Sample# Container ID(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 / Date: ayi 1 <br /> SOP T100_090(09/17/10) <br />