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Page 31 of 32 <br /> > <br /> WORK ORDER #: 11 -07-F F30 <br /> • i - =06-, Cooler ,3 of /1 <br /> CLIENT`: DATE: 07121 /11 <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C-6.0°C, not frozen) <br /> Temperature C .�OC+ 0.5°C (CF) 2 .-�—°C �J'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 /> 11 Received at ambient temperature, placed on ice for transport by Courier. <br /> Ambient Temperature: ❑ Air El Filter Initial: <br /> CUSTODY SEALS INTACT: <br /> ❑ Cooler F ❑ No (Not Intact) of Present ❑ N/A Initial: e719 <br /> 0 Sample ❑ ❑ No (Not Intact) Not Present Initial: )J4�- <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... <br /> COC document(s) received complete....................... .......................... ❑ p <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 /> 0 <br /> Sample container label(s) consistent with COC...................................... Z' ❑ ❑ ` <br /> Sample container(s) intact and good condition........... ............................ 2' ❑ ❑ <br /> Proper'containers and sufficient volume for analyses requested................ ❑ O <br /> Analyses received within holding time...........................I....................... ❑ ❑ <br /> Pf <br /> pH / Res. Chlorine / Diss. Sulfide / Diss. Oxygen received within 24 hours... ❑ ❑ <br /> Properpreservation noted on COC or sample container.........................: ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s) free of headspace..................................... ❑ O l <br /> Tedlar bag(s) free of condensation...................................................... ❑ O �' <br /> CONTAINER TYPE: <br /> Solid: `04ozCGJ ❑8ozCGJ` ❑16ozCGJ ❑Sleeve ( ) ❑EnCorese ❑TerraCorese ❑ <br /> c2� <br /> Water:'❑VOA ❑VOAh ❑VOAna2 11125AGB 0125AGBh ❑125AGBp ZAGS 01AGBs <br /> 0500AGB ❑500AGJ ❑500AGJs ❑250AGB 11250CGB 1771250CG13s 01PB ❑500PB` ❑500PBna <br /> 0250PB ❑250PBn ❑125PB ❑125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar°' ❑Summa° Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br /> Container: C:Clear IA:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: G <br /> Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: —k- <br /> SOP T100_090(03/24/11) <br />