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Page 16 of 16 + .ra WORK ORDER #: 10-12-© 0 E9 El Laboratories. Inc, � Cooler of � CLIENT: ��- I�NSu�'c�NCP DATE: 12 AA / 10 TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0°C—6.0°C, not frozen) Temperature \ - R °C + 0.5°C (CF) = 2 . °C 0--B 1.n k /Blank ❑ 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. Ambient Temperature: ] Air ❑ Filter Initial: / CUSTODY SEALS INTACT: ❑ Cooler ❑ ❑ No (Not Intact) Zot Present ❑ N/A Initial: nn ) 1:1 Sample ❑ El No (Not Intact) Present Initial: Vim% SAMPLE CONDITION: Yes/ No N/A Chain-Of-Custody(COC) document(s) received with samples................... C' ❑ ❑ COC document(s) received complete................................................... ❑� ❑ ❑ ❑ 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..................................................... 13 ❑ ❑ Sample container label(s)iconsistent with COC..................................... ❑-, ❑ ❑ Sample container(s) intact and good condition...................................... ❑---, ❑ ❑ Proper containers and sufficient volume for analyses requested............... ❑� ❑ ❑ Analyses received within Molding time................................................. L2--, ❑ ❑ pH / Residual Chlorine/ Ussolved Sulfide received within 24 hours........... ❑ ❑ C� Proper preservation noted on COC or sample container.......................... ❑ ❑ ❑ Unpreserved vials received for Volatiles analysis Volatile analysis containem(s) free of headspace..................................... ❑ ❑ �/ Tedlar bag(s)free of condensation...................................................... El GY CONTAINER TYPE: Solid: ❑4ozCGJ 1]8ozCGJ ❑16ozCGJ ZSleeve ( S ) ❑EnCores° ❑TerraCores° ❑ Water: ❑VOA ❑VOAh �IVOAna2 0125AGB ❑125AGBh ❑125AGBp 01AGB ❑1AGBna2 111AGBs 1_71500AGB 0500AGJ 11500AGJs ❑250AGB 0250CGB ❑250CGBs ❑1PB ❑500PB ❑500PBna ❑250PB 11250PBn ❑125PB 11125PBznna 11100PJ ❑100PJna2 ❑ ❑ ❑ Air: ❑Tedlae ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: Container: C:Clear A:Amber P:Plastic G: Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: Preservative: h:HCL n:HNO3 nae:Na2S203 na:NaOH p:H3PO4 s:H2S0, znna:ZnAc2*NaOH f:Field-filtered Scanned by: SOP 7100_090(09113110) VIII n w. .:..