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Page 22 of 22 <br /> %W=" � MoO <br /> It WORK ORDER #: 11 -07-7 0 N <br /> Cooler ?,� of <br /> 2- <br /> CLIENT: <br /> CLIENT: OFF DATE: 071 Z-�111 <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C-6.0°C, not frozen) <br /> Temperature _ . -7_ °C + 0.5°C (CF) _ .-�—I °C C/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 /> D Received at ambient temperature, placed on ice for transport by Courier. <br /> Ambient Temperature: ❑ Air ❑ Filter Initial: <br /> CUSTODY SEALS INTACT: Y <br /> EI Cooler 0 ❑ No (Not Intact) Cl-Not Present ❑ N/A Initial. <br /> ❑ Sample ❑ ❑ No (Not Intact) ,Q` of Present Initial: <br /> SAMPLE CONDITION: Yes. No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... E 1 ❑ ❑ <br /> COC document(s) received complete............ ...-El` D ❑ <br /> . .................................... <br /> ❑ Collection date/time, matrix, and/or#of containers logged in based on sample labels. <br /> D No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. <br /> Sampler's name indicated on COC...................................................... <br /> D ❑ <br /> a <br /> Sample container label(s) consistent with COC............ ........I - ❑ ❑ <br /> Sample container(s) intact and good condition.:.......................................D- ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested................E ❑ ❑ <br /> Analyses received within holding time..................................................0- ❑ ❑ <br /> pH / Res. Chlorine/ Diss. Sulfide / Diss. Oxygen received within 24 hours... ❑ ❑ ' <br /> Proper preservation noted on COC or sample container.......................... E"' ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s) free of headspace..................................... ❑ D eE­ <br /> Tedlar bag(s) free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE: <br /> Solid: ❑4ozCGJ 08ozCGJ ❑16ozCGJ [--]Sleeve (_) DEnCorese ❑TerraCorese D <br /> Water: ❑VOA ❑VOAh 0VOAna2 0125AGB 0125AGBh 7125AGBp 91-AGB ❑1AGBna2 01AGBs <br /> ❑500AGB ❑500AGJ ❑500AGJs 0250AGB 0250CGB ❑250CGBs (]1PB ❑500PB 0500PBna <br /> ❑250PB E1250PBn ❑125PB 0125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar° ❑Summa° Other: D 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: r_ <br /> Preservative: h:FjCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: <br /> SOP 7100_090(03124/11) <br />