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,( Page 29 of 29 Wronmentai WORK ORDER #: 10-12-© © 0 M 11 Q CLIENT: aNSuyw-Ac, DATE: 12 AA / 10 TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C -6.0°C, not frozen) Temperature \ . � OC + 0.5°C (CF) = — L-. OC Btank ❑ Sample ❑ Sample(s)outside temperature criteria(PM/APM contacted by: ). ❑ Sample(s)outside temperature criteria but received on ice/chilled on same day of sampling. ❑ Received at ambient temperature, placed on ice for transport by Courier. p Ambient Temperature: ❑ Air ❑ Filter Initial: / CUSTODY SEALS INTACT: t El El El No (Not Intact) Moot Present C] N/A Initial: U") 11 Sample 11 11 No (Not Intact) Present Initial: WF,7 SAMPLE CONDITION: Yes No N/A Chain-Of-Custody(COC) document(s) received with samples................... ❑ ❑ COC document(s) received complete................................................... D__11 ❑ ❑ ❑ Collection date/time, matrix,and/or#of containers logged in based on sample labels. ❑ No analysis requested. ❑ Not relinquished. ❑No date/time relinquished. / Sampler's name indicated on COC..................................................... Com/ ❑ ❑ Sample container label(s) consistent with COC..................................... ❑ ❑ Sample container(s) intact and good condition...................................... CX ❑ ❑ Proper containers and sufficient volume for analyses requested............... B--' ❑ ❑ Analyses received within holding time................................................. �� ❑ ❑ pH / Residual Chlorine / Dissolved Sulfide received within 24 hours........... ❑ ❑ Proper preservation noted on COC or sample container.......................... ❑ ❑ 0� ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s)free of headspace..................................... ❑ ❑ Tedlar bag(s) free of condensation...................................................... ❑ ❑ ❑ CONTAINER TYPE: Solid: 1]4ozCGJ ❑8ozCGJ ❑16ozCGJ /Sleeve ( s ) ❑EnCores° ❑Terra Cores° ❑ Water: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB 012 5AGl3h ❑125AGBp ❑1 AGB ❑1 AGBna2 ❑1 AGBs 11500AGB 0500AGJ 11500AGJs 0250AGB 1:1250CGB ❑250CGBs ❑1P6 ❑500PB ❑500PBna ❑250P6 0250PBn ❑125PB ❑125PBznna 0100PJ ❑100PJna2 ❑ ❑ ❑ Air: ❑Tedlar° ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: Us' Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:ZiploctResealable Bag E:Envelope Reviewed by: AS Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3POa s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: SOP T100_090(09/13/10)