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Page 8 of 8 oft WORK ORDER #: 12-1 0-M P abomw , Cooler of CLIENT: ( FF DATE: 101-"0112 TEMPERATURE: Thermometer ID: SC4 (Criteria: 0.0°C—6.0°C, not frozen) Temperature . 8 °C - 0.3°C (CF) = / . °C '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: y Cooler ❑ ElNo (Not Intact) F-1Not Present 771N/A Initial: C ElSample El No (Not Intact) Not Present Initial: SAMPLE CONDITION: Yes No N/A Chain-Of-Custody(COC) document(s) received with samples...................0 ❑ ❑ COC document(s) received complete...................................................YI ❑ ❑ ❑ 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...................................................... ❑ ❑ �j Sample container label(s) consistent with COC...................................... fl ❑ ❑ z Sample container(s) intact and good condition....................................... ❑ ❑ Proper containers and sufficient volume for analyses requested................ ❑ ❑ Analyses received within holding time.................................................. ❑ ❑ pH / Res. Chlorine/ Diss. Sulfide / Diss. Oxygen received within 24 hours... ❑ ❑ 1P 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...................................................... ❑ ❑ CONTAINER TYPE: Solid: ❑4ozCGJ ❑8ozCGJ 1:116ozCGJ ❑Sleeve ( ) ❑EnCorese ❑TerraCores® ❑ Water: ❑VOA ❑VOAh 0VOAna2 ❑125AGB ❑125AGBh F-1125AGBp 01AGB ❑1AGBna2 l�1AGBs ❑500AGB 0500AGJ 0500AGJs ❑250AGB ❑250CGB ❑250CGBs ❑1PB 01PBna 0500PB ❑250PB ❑250PBn ❑125PB ❑125PBznna 0100PJ ❑100PJna2 ❑ ❑ ❑ Air: ❑Tedlar° ❑Canister Other: F-1Trip 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 u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by: SOP T100_090(10/01/12)