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Page 18 of 18 <br /> 7L!rg �a11 .f WORK ORDER #: 13-08-0 ❑ 17 1 <br /> Cooler of <br /> CLIENT: L I DATE: 08 AOl / 13 <br /> TEMPERATURE: Thermometer ID: SC3 (Criteria: 0.0°C —6.0°C, not frozen except sediment/tissue) <br /> Temperature `2 . 3 OC - 0.2°C (CF) = a . i °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 /> ❑ Received at ambient temperature, placed on ice for transport by Courier. <br /> Ambient Temperature: ❑ Air ❑ Filter Initial: J <br /> CUSTODY SEALS INTACT: �A <br /> /Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ 14 <br /> No (Not Intact) ❑ Not Present Initial: C-- <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... ❑ ❑ <br /> COC document(s) received complete................................................... <br /> �, ❑ ❑ <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 /> Sample container label(s) consistent with COC..................................... .Z ❑ ❑ <br /> Sample container(s)intact and good condition...................................... 9f ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... ❑ ❑ <br /> Analyses received within holding time................................................./21 ❑ ❑ <br /> Aqueous samples received within 15-minute holding time <br /> ❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... ❑ ❑ <br /> Proper preservation noted on COC or sample container..........................,lel El El <br /> lUnpreserved 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: ❑4ozCGJ ❑8ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCores° ❑ <br /> Water: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB ❑125AGBh ❑125AGBp 'CAGB ❑1AGBna2 elAG13s <br /> ❑500AGB 11500AGJ ❑500AGJs ❑250AGB 0250CGB ❑250CGBs 17711PB 17711PBna ❑500PB <br /> ❑250PB 7250PBn ❑125PB 0125PBznna 11100PJ ❑100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar° ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: �f(i <br /> Container: C:Clear A: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 u:ultra-pure znna:ZnAc2+NaOH f: Filtered Scanned by: 144. <br /> SOP T100_090(07/31/13) <br />