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ff —1 . Page 27 of 28 <br /> �rc>'�rra�,ln WORK ORDER #: 14-03-0 © 0 <br /> lwabat , Inc <br /> E%111 iTAU 4:8Z4*411:4129 Wei N 07 Cooler of '2- <br /> CLIENT: DATE: 03 14 <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C-6.0'C, not frozen except sediment/tissue) <br /> Temperature . ,3 OC - 0.30C (CF) = 2 .-(D °C Blank O 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 Checked by: �L <br /> CUSTODY SEALS INTACT: <br /> p Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Checked by: 07- <br /> ' ❑ Sample ❑ ❑ No (Not Intact) �ot Present Checked by: geL <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples.................../Z ❑ ❑ <br /> COC document(s) received complete...................................................� ❑ ❑ <br /> N <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..................................................... 9� ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... e( ❑ ❑ <br /> Sample container(s) intact and good condition...................................... C ❑ ❑ <br /> 1 Proper containers and sufficient volume for analyses requested............... X ❑ <br /> Analyses received within holding time................................................. ❑ ❑ <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.......................... ❑ ❑ <br /> 1 ❑ 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 08ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCorese ❑ <br /> ' Aqueous: ❑VO, ❑VOM ❑VOAna2 0125AGB ❑125AGBh ❑125AGBp�Z/lAGB ❑1AG13na2 ❑1AGBs <br /> ❑500AGB 8MAGJ ❑500AGJs ❑250AGB 0250CGB 0250CGBs ❑1PB 01PBna 0500PB <br /> 1 ❑250PB 0250PBn ❑125PB 0125PBznna ❑100PJ ❑100PJna2 ❑ El ❑ <br /> Air: ❑Tedlar° ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: S70-2- <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/ReseaIable Bag E:Envelope Reviewed by: 7 4`d <br /> ' Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:HZSoa u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by:_Zl�_,_ <br /> SOP T100-090(07131113) <br />