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Page 10 of 10 <br /> + ' <br /> . a WORK ORDER #: 13-08-ID R 7 LA <br /> ' 0 Cooler [ of <br /> CLIENT: DATE: 08 12M / 13 <br /> TEMPERATURE: Thermometer ID: SC3 (Criteria: 0.0°C —6.0°C, not frozen except sediment/tissue) <br /> Temperature — • ( °C - 0.2°C (CF) _ .Z- °CBlank 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 /> l�cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) blot Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... 2<, ❑ ❑ <br /> COC document(s) received complete................................................... ❑ ❑ <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..................................................... ❑ ❑ 21' <br /> Sample container label(s) consistent with COC..................................... e_ ❑ ❑ <br /> Sample container(s) intact and good condition...................................... Z" ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... 2 ❑ ❑ <br /> Analyses received within holding time................................................. 211' ❑ ❑ <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.......................... 2"_ ❑ ❑ <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: ❑4ozCGJ ❑8ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCorese ❑TerraCoreso ❑ <br /> Aqueous: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB 1771125AG13h 1771125AGBp ❑1AGB 01AGBna2 211AGBs <br /> ❑500AGB ❑500AGJ ❑500AGJs ❑250AGB ❑250CGB 1771250CGBs ❑1PB ❑1PBna ❑500PB <br /> ❑250PB ❑250PBn ❑125PB 0125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar° ❑Canister 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: '(/L <br /> Preservative: h:HCL n: HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4U:Ultra-pure znna:ZnAc2+NaOH f: Filtered Scanned by:� <br /> SOP T100_090(07131113) <br />