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Page 30 of 31 <br /> WORK ORDER #: 10-10-0 19 El El <br /> ' Cooler 2 of 3 <br /> CLIENT: DATE: 10 /2-\ / 10 <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C—6.0°C, not frozen) <br /> Temperature �- . '�> °C + 0.5 OC (CF) = 2 . 8 °C LJ 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 Initial: <br /> TT <br /> ODY SEALS INTACT: <br /> oler ❑ ❑ No (Not Intact) Zot <br /> t Present El N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody(COC) document(s) received with samples................... (�J/ ❑ ❑ <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..................................................... ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... ❑ ❑ <br /> Sample container(s) intact and good condition...................................... 3--, ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... 2----/ ❑ ❑ <br /> Analyses received within holding time................................................. CX ❑ ❑ <br /> pH / Residual Chlorine/ Dissolved Sulfide received within 24 hours........... ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... Ey--- ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis containers)free of headspace............................ ...... ❑ ❑ <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ �1 <br /> CONTAINER TYPE: <br /> Solid: 1]4ozCGJ 08ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCores® ❑ erraCorese ❑ <br /> Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB ❑125AGBh 0125AGBp 1AGz <br /> B 01AGBna2 ❑1AGBs <br /> 0500AGB 13500AGJ ❑500AGJs ❑250AGB ❑250CGB 0250CGBs ❑1PB 11500PB 11500PBna <br /> ❑250PB 0250PBn ❑125PB ❑125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlaro ❑Summa° Other: ❑ Trip Blank Lot#: labeled/Checked by: � 2 <br /> Container: C:Clear A:Amber P:Plastic G: Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: Nl1j� <br /> Preservative: h:HCL n:,HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: 1rtl� <br /> SOP T100_090(09113/10) <br />