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Page 11 of 11 <br /> lartco <br /> `Fr: rrrr� ed WORK ORDER #: 14-02- D 0 <br /> ' abomtadesa Inn <br /> h` Cooler I of <br /> ' CLIENT: l �— DATE: 02120114 <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C -6.0°C, not frozen except' sediment/tissu )Temperature 2 °C - 0.3°C (CF) = 2- . s OC ❑ Blank 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 Checked by: J� <br /> ' CUSTODY SEALS INTACT: <br /> ❑ Cooler ❑ ❑ No (Not Intact) W of Present ❑ N/A Checked by: J-5— <br /> ❑ Sample ❑ ❑ No (Not Intact) Not Present Checked by: <br /> SAMPLE CONDITION: Yes No N/A <br /> ' Chain-Of-Custody (COC) document(s) received with samples................... ❑ ❑ � <br /> COC document(s) received complete...................................................per ❑ ❑ <br /> ' ❑ Collection date/time,matrix, and/or#of containers logged in based on sample labels. <br /> ❑ No analysis requested. ❑ Not relinquished. ❑ No dale/time relinquished. <br /> ' Sampler's name indicated on COC..................................................... ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... L�,- ❑ ❑ <br /> Sample container(s) intact and good condition...................................... ❑ ❑ <br /> ' Proper containers and sufficient volume for analyses requested............... -d ❑ ❑ <br /> Analyses received within holding time................................................. .❑ ❑ ❑ <br /> Aqueous samples received within 15-minute holding time <br /> ❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... ❑ ❑ 21� <br /> ' Proper preservation noted on COC or sample container.......................... 2' ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> ' Volatile analysis container(s)free of headspace.....................................231� ❑ ❑ <br /> Tedlar bag(s) free of condensation...................................................... ❑ ❑ gr <br /> CONTAINER TYPE: <br /> ' Solid: 04oz J ❑8ozCGJ 016ozCGJ ❑Sleeve ❑EnCoreso ❑TerraCoreso ❑ <br /> Aqueous: 91 A ❑VOAh 0VOAna2 0125AGB 0125AGBh ❑125AGBp 01AGB 01AGBna2 01AGBs <br /> ' 0500AGB 0500AGJ ❑500AGJs 0250AGB 0250CGB 0250CGBs ❑1PB 01PBna 0500PB <br /> ❑250PB 0250PBn 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ ❑ 11Air: ❑Tedlar® ❑Canister 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: <br /> Preservative: h:HCL n:HNO3 naz:N83S203 na:NaOH p:H3PO4s:H3SO4u:Ultra-pure znna:Zr1Ac2+NaOH f:Filtered Scanned by:_AZ,-.. <br /> ' SOP T100_090(07131113) <br /> C,7 of F I <br />