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Page 29 of 31 WORK ORDER #: 10-10- 0 El El El abomtades� Inc. ' 9=11221MCooler of CLIENT: V__\F'F DATE: 10 /�Z-\ / 10 TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C—6.0'C, not frozen) Temperature Z . °C + 0.5°C (CF) _ Co °C lank ❑ Sample ❑ Sample(s) outside temperature criteria (PM/APM contacted by: ). ❑ Sample(s)outside temperature criteria but received on ice/chilled on same day of sampling. ❑ Received at ambient temperature, placed on ice for transport by Courier. Ambient Temperature: ❑ Air ❑ Filter Initial: . CUSTODY SEALS INTACT: 17 Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: ❑ Sample ❑ ❑ No (Not Intact) El Not Present Initial. SAMPLE CONDITION: Yes No N/A Chain-Of-Custody (COC) document(s) received with samples................... �Z ❑ ❑ COC document(s) received complete................................................... 151� ❑ ❑ ❑ Collection date/time, matrix,and/or#of containers logged in based on sample labels. ❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. / Sampler's name indicated on COC..................................................... ❑/ ❑ Sample container label(s) consistent with COC..................................... ❑ ❑ Sample container(s) intact and good condition...................................... 0-"— ❑ ❑ Proper containers and sufficient volume for analyses requested............... / ❑ ❑ Analyses received within holding time................................................. C ' ❑ ❑ pH / Residual Chlorine / Dissolved Sulfide received within 24 hours........... 11 E] zl/ Proper preservation noted on COC or sample container.......................... ❑ ❑ ❑ Unpreserved vials received for Volatiles analysis / Volatile analysis container(s)free of headspace..................................... ❑ ❑ �f Tedlar bag(s)free of condensation...................................................... ❑ ❑ CONTAINER TYPE: Solid: 04ozCGJ 1]8ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCorese ❑ Water: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB ❑125AGBh 0125AGBp Z1AGB 01AGBna2 ❑1AGBs ❑500AGB ❑500AGJ ❑500AGJs 0250AGB ❑250CGB ❑250CGBs 01PB ❑500PB ❑500PBna 0250PB ❑250PBn ❑1 25P ❑125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ Air: ❑Tedlare ❑Summa° Other: ❑ Trip Blank Lot#: Labeled/Checked by: Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: -lel& Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAC2+NaOH f:Field-filtered Scanned by: � SOP T100 090(09/13/10) �mr.