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CEIVL <br /> Amoka <br /> JJ A6E2186 05/24/2016 <br /> BSKAssociates SR-FL-0002-15 .......... H2Our4957 5 <br /> Sample IntegrityIHIIIIIIHIulllllllll III NIIIIINIHI <br /> p <br /> BSK Bottles: No Page of perature <br /> ._.............................._........................................................................ <br /> $in <br /> �Was temwrange? Were correct containers and preservatives <br /> Chemistry 5 6°C Micro<10°C No NA received for the tests requested? e5 No NA <br /> cIf samples were taken today, is there evidenceWere there bubbles in the VOA vials? Yes N NA <br /> that chilli has begun? Yes No NA (yolatlles Only) <br /> V Did all bottles arrive unbroken and intact? ifes No Was a sufficient amount of sample received? Y No <br /> 0 Did all bottle labels agree with COC? es No Do samples have a hold time<72 hours? es No <br /> V <br /> Was sodium thiosulfate added to CN sample(s) Yes No N Was PM notified of discrepancies. Yes No NA <br /> until chlorine was no longer present? PM: Byfrime: <br /> 250ml(A) 500ml(B) 1Liter(C)40ml VOA(V) Checks Passed? <br /> Bacti Na28203 — — <br /> None(P)White cap — — <br /> 66(P)Br.GreenLabel/Blue cap NH40H(NH4)2SO4 DW Cl,pH>8 Y N _ <br /> Cr6(P) Pink Label!Blue Cap NH40H(NH4)2SO4 WW pH 9.3-9.7 Y N <br /> Cr6(p)Black LabeVBlueCap NH40H(NH4)2SO4 7199 pH 9.0-9.5 1 Y N <br /> `*"24 HOUR HOLUTJME- i I / <br /> C HNO3(P)Red Cap <br /> H2SO4 '(P) or (AG) IlOw"PILabel pH<2 Y N <br /> NaOH(P)Green Cap Cl, pH>10 Y N <br /> c2NaOH+ZnAc(P) pH>9 Y N <br /> 2 Dissolved Oxygen 300ml(g) <br /> Q'None(AG)6081808"18082,625,632/8321,8151, <br /> Z.8270 — <br /> 2 t HCl(AG)LL Blue Label O&G,Diesel — — <br /> U y Na203S+H.Cl(AG)LI-Pink Label 525 – — — <br /> N <br /> Na2S2031 Liter(Brown P)549013 <br /> N Blue Label <br /> t Na2S2Q3(AGS 547,515,548;TFIM,524 <br /> CNa2S203(CG)eiue Label 504,505 — <br /> E Na2S203+MCAA(CG)oran9eLabel 531 pH<3 Y IN: <br /> 2 NH4CI(AG)Purple Law 552 — — <br /> 0 <br /> Z EDA(AG)B—Label DBPs — f`�' <br /> HCL(CG)524.2,BTEX,Gas,MTBE,8260/624 — — <br /> Buffer pH 4(CG) <br /> COO <br /> None(CG) — — <br /> E H3PO4-(CG: almon Labe! <br /> Other: <br /> — — <br /> Asbestos 1Liter Plastic w/Foil <br /> Low Level Hg/Metals Double Baggie — — <br /> Bottled Water — — <br /> Clear Glass Jar: 250 / k500 / 1 Liter — — <br /> Soil Tube . Brass / Stee / Plastic <br /> Tedlar Bag / Plastic Bag — — <br /> +, Contain r. Preservative Date/Time/Initials Container Preservative Date/TimeAttials <br /> CL94 <br /> IM > - (0 1010 M1 S P <br /> N S p Is P <br /> N <br /> C <br /> d <br /> E <br /> E <br /> O <br /> U <br /> Labeled by: )A2 @ Labels checked by: V @ c- RUSH Paged by:_@ <br /> Page 33 of 33 <br />