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Page 20 of 20 <br /> WORK ORDER #: 11 -07- <br /> hm <br /> �.-fA,JJTJJ:J4=rA,JL1[ TJFAJK= <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑'Sam ple(s)/Container(s) NOT RECEIVED but listed on COC "t e L o X141'v <br /> ❑ Sample(s)/Container(s) received but NOT LISTED on COC b449�ey►a <br /> El 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 <br /> ❑Sample ID <br /> ❑ Date and/or Time Collected <br /> ❑ Project Information <br /> ❑# of Container(s) <br /> Analysis <br /> G?Sample container(s) compromised Note in comments <br /> 0present in sample container <br /> roken ■ <br /> ❑Sample container(s) not labeled <br /> ❑ Air sample container(s) compromised- Note in comments o <br /> U <br /> ❑ Flat <br /> ❑Very low in volume <br /> ❑Leaking (Not transferred - duplicate bag submitted) <br /> ❑Leaking (transferred into Calscience Tedlar® Bag*) <br /> El Leaking (transferred into Client's Tedlar° Bag*) <br /> ❑ Other: <br /> HEADSPACE - Containers with Bubble > 6mm or % 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: - 07 /) /1 <br /> SOP T100_090(09/17/10) <br />