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Page 23 of 25 <br /> M— WORK ORDER #: � � -07-® [Z_1124,Z <br /> DMEI,iar <br /> • ' Cooler i of <br /> CLIENT: /1 ��� DATE: 07121 /11. <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C-6.0°C, not frozen) <br /> Temperature 2- OC + 0.5°C (CF) _ .0 °CLd'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 /> El Received at ambient temperature, placed on ice for transport by Courier. <br /> Ambient Temperature: ❑ Air ❑ Filter Initial: <br /> CUSTODY SEALS INTACT: <br /> 171 Cooler ❑ ❑ No (Not Intact) 2<Ot Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) iYNot Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-0f-Custody (COC) document(s) received with samples..................., ❑ ❑ <br /> COCdocument(s) received complete....................................................le 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 /> a <br /> Sample container label(s) consistent with COC........... ..... <br /> Sample container(s) intact and good condition..........., ,I;e ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested................ ❑ ❑ <br /> Analyses received within holding time.................................................. .0 ❑ p <br /> pH / Res. Chlorine/ Diss. Sulfide/Diss. Oxygen received within 24 hours... O ❑ <br /> Proper preservation noted on COC or sample container.......................... . ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s) free of headspace......I.............................. ❑ ❑ <br /> Tedlar bag(s) free of condensation...................................................... El ❑ �J <br /> CONTAINER TYPE: <br /> Solid: ❑4ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCorese ❑ <br /> 7/„/n <br /> Water:'❑VOA ❑VOAh ❑VOAna2 ❑125AGB ❑125AGBh �125AGBp ZAGB 01AGBs <br /> ❑500AGB ❑500AGJ 0500AGJs 0250AGB ❑250CGB 13250CGBs ❑1PB 0500PB 0500PBna <br /> ❑250PB ❑250PBn 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlare ❑Summa° Other: ❑ Trip Blank Lot#: Labeled/Checked by: <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: ►!`� <br /> SOP T100 090(03/24/11) <br />