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Page 31 of 31 <br /> f <br /> _ WORK ORDER #: 10-10- <br /> ' 1111111111 k Cooler of <br /> CLIENT: DATE: 10 /ZA / 10 <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0°C—6.0°C, not frozen) <br /> Temperature 2 °C + 0.5°C (CF) _ . , °C I� 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 /> T <br /> TODY SEALS INTACT: <br /> oler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) 0"N'ot Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> r MEj `�' <br />