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Page 31 of 31 <br /> ° ,c snce <br /> a�r:��arrrrr�rrvlr�l © � <br /> WORK ORDER #: 1 O-12-❑ ❑ ❑ ❑ <br /> . , e , � . <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑ Sample(s)/Container(s) NOT RECEIVED but listed on COC C-2>`P`'�'a`�"� A5 �"v-\ ' <br /> ❑ Sample(s)/Container(s) received but NOT LISTED on COC ��� M►�`C� `� <br /> ❑ Holding time expired - list sample ID(s) and test <br /> ❑ Insufficient quantities for analysis - list test <br /> ❑ Improper container(s) used - list test <br /> ❑ Improper preservative used - list test <br /> ❑ No preservative noted on COC or label - list test & notify lab <br /> ❑ Sample labels illegible - note test/container type <br /> Sample label(s) do not match COC - Note in comments <br /> LJ Sample ID <br /> ❑ Date and/or Time Collected <br /> ❑ Project Information <br /> ❑# of Container(s) <br /> ❑ Analysis <br /> ❑ Sample container(s) compromised - Note in comments <br /> ❑Water present in sample container <br /> ❑ Broken <br /> ❑ Sample container(s) not labeled <br /> ❑ Air sample container(s) compromised - Note in comments <br /> ❑ Flat <br /> ❑Very low in volume <br /> ❑ Leaking (Not transferred - duplicate bag submitted) <br /> ❑ Leaking (transferred into Calscience Tedlar° Bag*) <br /> ❑ Leaking (transferred into Client's Tedlar° Bag*) <br /> ❑ Other: <br /> HEADSPACE - Containers with Bubble > 6mm or 1/4 inch: <br /> Sample# Container #of Vials Sample# Container ID(s) #of Vials Sample# Container #of Cont. Analysis <br /> ID(s) Received Received ID(s) received <br /> L - - <br /> Comments: <br /> *Transferred at Client's request. Initial / Date: -Y" 12 /0/1 0 <br /> SOP T100_090(09/17/10) <br />