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Page 11 of 11 <br /> tree <br /> . rPdlifardarl( WORK ORDER M 1 O-0 © - /❑ © ® <br /> aboratadesto Inc. <br /> Box -L of l <br /> CLIENT: C{L (} DATE: 10 <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0eC-6.OeC, not frozen) <br /> Temperature ._OC + 0.5°C (CF) = .— <br /> El 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: ElAir ❑ Filter ❑ Metals Only ❑ PCBs Only Initial: <br /> CUSTODY SEALS INTACT: . <br /> 1'J BOx ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) PrKot Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody(COC) document(s) received with samples—................ lz� ❑ ❑ <br /> COC document(s) received complete................................................... call, ❑ ❑ <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..................................................... �2' ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... P' ❑ ❑ <br /> Sample container(s) intact and good condition...................................... Rr, ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... uo� ❑ ❑ <br /> Analyses received within holding time................................................. 0' ❑ ❑ <br /> pH / Residual Chlorine/Dissolved Sulfide received within 24 hours........... ❑ ❑ ET— <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..................................... ❑ ❑ IZT <br /> Tedlar bag(s) free of condensation...................................................... ❑ ❑ p <br /> CONTAINER TYPE: <br /> Solid: 04ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCores° ❑TerraCoreso ❑ <br /> Water: ❑VOA ❑VOAh 0VOAna2 0125AGB 0125AGBh 0125AGBp 01AGB 01AGBna2 ❑1AGBs <br /> 0500AGB 0500AGJ 0500AGJs 0250AGB ❑250CGB 0250CGBs 01PB ❑500PB 0500PBna <br /> ❑250PB 0250PBn ❑125PB 0125PBznna ❑100PJ 0100PJna2 ❑ ❑— El <br /> Air: ❑Tedlar® PJSummae Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Botae Z:Ziploc/Resealable Bag E:Envelope Reviewed by: <br /> Preservative: h:HCL n:HNO3 nat:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAcz+NaOH f:Reld-filtered Scanned by: <br /> SOP 7100 08010910n0) <br />