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. rt <br /> Page 24 of 25 <br /> .a.. WORK ORDER #: 11 -07- l M M <br /> _... ai <br /> Mel Cooler P- of 3 <br /> CLIENT: /1 � DATE: 07121 /11 <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0°C—6.0°C, not frozen) <br /> Temperature 2-. .L1 °C + 0.5°C (CF) = 2 .�°C �Iank El 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 El Filter Initial: <br /> CUSTODY SEALS INTACT: <br /> El Cooper ❑ ❑ No (Not Intact) ®'Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) Z Not Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (000) document(s) received with samples................... ❑ ❑ <br /> COC document(s) received complete................................................... 21" ❑ ❑ <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...................................... 8` ❑ ❑ <br /> Sample container(s) intact and good condition........... 1/ 0 ❑ <br /> Propercontainers and sufficient volume for analyses requested................ ❑ ❑, <br /> Analyses received within holding time... ................ ................. ❑ p <br /> pH / Res. Chlorine/ Diss. Sulfide/ Diss, Oxygen received within 24 hours... ❑ <br /> Proper preservation noted on COC or sample container....................:..... ❑ ❑ <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: 04ozCGJ 08ozCGJ ❑16ozCGJ ❑Sleeve (_) ❑EnCoreso ❑TerraCores® ❑ <br /> Water: ❑VOA ❑VOAh 13VOAna2 ❑125AGB 0125AGBh 0125AGBp 2'1AGB 01AGBs <br /> 0500AGB 11500AGJ 11500AGJs ❑250AGB 0250CGB ❑250CGBs 01PB 0500PB 0500PBna <br /> 0250PB 0250PBn ❑125PB 0125PBznna ❑100PJ 0100PJna2 ❑ - ❑ ❑,& <br /> Air: ❑Tedlar° ❑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:HZSOa znna:ZnAc2+NaOH f:Field-filtered Scanned by: <br /> SOP T100-090(03/24/11) <br />