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Page 27 of 27 110-a;40 - WORK ORDER #: 10-05-© 10 E pries, ,Inc . Cooler of I CLIENT: DATE: 05 1®I l 1O TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0°C—6.0'C, not frozen) Temperature 2 . 0 OC + 0.5°C (CF) = 02 .Y°C ZBlank ❑ 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 ❑ Metals Only ❑ PCBs Only Initial CUSTODY SEALS INTACT: / El Cooler ❑ El No (Not Intact) /Not Present ❑ N/A Initial: ❑ Sample ❑ ❑ No (Not Intact) Not Present Initial: _ SAMPLE CONDITION: Yes No N/A Chain-Of-Custody (COC) document(s) received with samples..........:......... ❑ ❑ i' COC document(s) received complete.........................................:.........12 ❑ ❑ ❑ 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..................................................... ❑ ❑ Sample container label(s) consistent with COC..................................... fa" ❑ ❑ Sample container(s) intact and good condition...................................... ja' ❑ ❑ Proper containers and sufficient volume for analyses requested............... ,e( ❑ ❑ Analyses received within holding time................................................. ❑ ❑ Proper preservation noted on COC or sample container.......................... ❑ ❑ ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s)free of headspace..................................... ❑ ❑ Tedlar bag(s)free of condensation...................................................... ❑ ❑ 12 CONTAINER TYPE: Solid: P4"ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCorese ❑TerraCorese ❑ Water: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB ❑125AGBh ❑125AGBp ❑1AGB ❑1AGBna2 ❑1AGBs 11500AGB ❑500AGJ 0500AGJs ❑250AGB 0250CGB ❑250CGBs 01PB ❑500PB ❑500PBna ❑250PB 0250PBn ❑125PB ❑125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ Air: ❑Tedlare ❑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 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAC2+NaOH f:Field-filtered Scanned by: _/ SOP 7100_090(07116/09)