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Page 32 of 32 <br /> - <br /> a . _ WORK ORDER M 11 -07-© ® F21 1�1 <br /> ' 0 Cooler I of <br /> CLIENT: I <br /> ;�v DATE: 07121 /11 <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0°C —6.0'C, not froze�`Blank <br /> ) <br /> Temperature 3 OC + 0.5°C (CF) _ 3 .3°C ❑ 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 /> CUSTODY SEALS INTACT: <br /> ❑ Cooler ❑ ❑ No (Not Intact) of Present ❑ N/A Initial: t'719 <br /> ❑ Sample ❑ ❑ No (Not Intact) /Not Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... 21' ❑ ❑ <br /> COC document(s) received complete................................................... P1 ❑ ❑ <br /> ❑ Collection date/time, matrix, and/or#of containers logged in based on sample labels. <br /> d <br /> ❑ No analysisrequested. ❑ Not relinquished. ❑ No date/time relinquished. <br /> Sampler's name indicated on COC.............................................. <br /> a <br /> Sample container label(s) consistent with COC...................................... ❑ ❑ <br /> Sample container(s) intact and good condition....................................... 12� ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested................ Pl ❑ ❑ <br /> Analyses received within holding time.................................................. ❑ ❑ <br /> pH / Res. Chlorine / Diss. Sulfide/ Diss. Oxygen received within 24 hours... ❑ ❑ Z <br /> Proper preservation noted on COC or sample container.......................... 01, ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s) free of headspace..................................... ❑ ❑ <br /> Tedlar bag(s) free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE: . <br /> Solid:` 17714ozCGJ ❑8ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCores° ❑TerraCorese ❑ <br /> Water: ❑VOA ❑VOAh 0VOAna2 ❑125AGB 0125AGBh ❑125AGBp 2111AGIB ❑1AGBs <br /> 1:1500AGB 0500AGJ ❑500AGJs ❑250AGB 0250CGB ❑250CGBs 01PB ❑500PB 17,71500PBna <br /> ❑250PB 0250PBn 0125PB ❑125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlare ❑Summa° Other: ❑ Trip Blank Lot#: Labeled/Checked by:A-LU <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: <br /> Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: dl <br /> SOP T100_090(03/24111) <br />