Laserfiche WebLink
AFIIW9 FGL Kn20 in 09/09121122 <br /> BSK Associates SR-FL-0002-23 <br /> L(I i <br /> Sample Integrity <br /> BSK Bottles: Yes N ) Page of 1 <br /> Was temperature within range? Yes No NA Were correct containers and preservatives i No NA <br /> Chemist 5 60C Micro<80C received for the tests requested? <br /> If samples were taken today, is there evidenceBubbles Present VOAs(524.2f17HMlTCP)? Yes NA <br /> that chillinghas begun? Yes No TB Received? Check Method Below Yes o NA <br /> U Did all bottles arrive unbroken and intact? No Was a sufficient amount of sample received? a No <br /> L) Did all bottle labels agree with COC? es No Do samples have a hold time<72 hours? Yes <br /> U <br /> Was sodium thiosulfate added to CN sample(s) Yes NAWas PM notified of discrepancies? Yes No �A <br /> until chlorine was no longer present? PM: By(Time: <br /> 250m1(A)500mi(B) lLiter(C)40mlVOA(V) 125mi(D) Checks* Passed? <br /> Bacti Na2S203 — — <br /> None(P)Whit.Cap — — <br /> Cr6 (P)Lt.Green Labe"MI'le Cap NH40H(NH4)2SO4 DW Cl, pH>8 P F <br /> Cr6 (P) Pink LabeUBlue cap NH40H(NH4)2504 WVIf pH 9.3-9.7 P F <br /> .L�-. Cr6 ( ) <br /> P Blade LabeVBIUe Cap NH40H(NH4)2SO4 71 99 <br /> ""24 HOUR HOLD TIME" PH 9.0 9.5 P F <br /> EHNO3 (P)11011cap or HCI (P) purple CapILL Blue Label <br /> H2SO4 (P) or (AG) Ye'Ow cap/Label pH<2 P F 1 <br /> m <br /> NaOH (P)Green cap Cl, pH>10 P F <br /> NaOH +ZnAc(P) pH>9 P F <br /> Dissolved Oxygen 300ml (g) — <br /> z <br /> M 6 None(AG)8081808118082,625,632!8321,8151,8270 — — <br /> > HCl (AG)Ll.Blue Label O&G,Diesel,TCP — — <br /> 0 m Ascorbic, EDTA, KH2Ct(AG)Pxik Label 525 —EO — <br /> Na2SO3 25OmL (AG)Neon Green label 515 — — <br /> Na2S2031 Liter(Brown P) 549 <br /> d <br /> m .rE Na2S203(AG)Blue Label 548,THM,524 — — <br /> U Na2S2O3(CG)Blue Label 504 505,547 — — <br /> Na2S203+ MCAA(CG)Orange Label 531 pH <3 P F <br /> M <br /> NH4CI (AG)P'O'Label 552 — — <br /> EDA(P) or (AG) B--L3bel DBPs — — <br /> c HCL (CG)524.2,BTEX,Gas,MTBE,8260/624 — — 1 <br /> re <br /> Buffer pH 4 (CG) — — <br /> = H3PO4(CG)Sal=nLabe[ — — <br /> Trizma—EPA 537.1 - Field Blank Required <br /> Other: <br /> Asbestos 1 L(P)wl Foil 1 LL Metals Bottle — — <br /> Bottled Water — — <br /> Clear Glass — <br /> Solids: Brass ! Steel1 Plastic Ba — <br /> „r Container Preservative Lot# Initials DatelTime Preservation Check <br /> S P pH Lot# <br /> S P CI Lot# <br /> "Preservat`ionn check completed b lab p renin an lysis. ✓ Indicates Blanks Received <br /> 504 r 524.2_ TTHM_ 537.1 _ TCP_ <br /> ✓ MSIMSD Received Method: <br /> Scanned: Rush/Short HT Page: Time: <br /> Page 9of9 <br />