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Al.10711 FGLEj12000 10/05/2022 <br /> BSK Associates SR-FL-0002-23 <br /> Sample Integrity 10 <br /> BSK Bottles: Yes N Page of <br /> Was temperature within r Were correct containers and preservatives a No NA <br /> Chemist 5 6°C Micro a 8°C Yes No NA received for the tests requested? <br /> C If samples were taken today.is there evidence Yes No Bubbles Present VOAs(524.2ITTHMITCP)? Yes o NA <br /> that chilling has begun? TB Received? Check Method Below Yes g, NA <br /> V Did all bottles arrive unbroken and intact? s No Was a sufficient amount of sample received? Yes No <br /> Oi Did all bottle labels agree with COC? <br /> C3 Do samples have a hold time<72 hours? Yes <br /> Was sodium thiosulfate added to CN sample(s) Yes Was PM notified of discrepancies? Yes No N <br /> until chlorine was no longer present? PM: BylTime: <br /> 250m1(A)50drt71(B) 1Lrter(C)40m1VOA(V) 125ml(D) Checks' Passed' <br /> Bacti Na2S203 — — <br /> None (P)WhiteCap — — <br /> Cr6(P)LL Green LabeUB]Ue Cap NH40H(NH4)2so4 DW Cl, pH>8 P F <br /> f9 <br /> Cr6(P) Pink LabeVBlueCap NH40H(NH4)2SO4 WW pH 9.3-9.7 P F <br /> Cr6(P) Bim Labem'a Cap NH40H(NH4)2So4 7199 <br /> c "'24 HOUR HOLD TIME" pH 9.0<9.5 P F <br /> HNO3(P)Red cap or HCI (P) Purple CaplU.Blue Label _ — <br /> H2SO4 (P) or (AG) YellowCap&abe$ pH<2 P F <br /> NaOH (P)Green Cap Cl. pl-I >10 P F <br /> co NaOH +ZnAc(P) pH>9 P F <br /> `a <br /> < Dissolved Oxygen 300ml (g) — — <br /> z <br /> None(AG)15>0818081i`8082,625.6308321.8151.8270 — — <br /> 5 HCI (AG)Ll Blue Label 08G,Diesel.TCP — — <br /> w <br /> Ascorbic, EDTA, ICH2Ct(AG)Pink Label 525 — — <br /> NNa2S01 254mL (AG)NeonGreen Lebec 515 — — <br /> Na2S2031 Liter(Brown P)549 — <br /> c—` Na2S203(AG)Biue Label 548,THM.524 <br /> 0— VVVj— <br /> Na2S203(CG)BI-Label 504,505,547 — — <br /> `s Na2S203+ MCAA(CG)Orange Label 531 pH<3 P F <br /> Z6 <br /> v NH4CI (AG)P"rp1e Label 552 — — <br /> EDA (P) or (AG)Brown Label DSPs — — <br /> m HCl-(CG)524.2,BTEx,Gas,MTBE,8260/624 — — <br /> E Buffer pH 4(CG) — <br /> H3PO4 (CG)Salman Label — <br /> Trizma– EPA 537.1 -Field Blank Required <br /> Other: <br /> Asbestos 1 L(P)wl Foil I LL Metals Bottle — — <br /> Bottled Water <br /> Clear Glass -- <br /> Solids: Brass 1 Steel 1 Plastic Ba — — <br /> Container Preservative Lot# Initials Dat [Time Preservation Check <br /> S P pH Lot# <br /> S P CI Lot# <br /> "Pr servation check <br /> (�co�mp(l�db"1abp;jfmingjanfysis. ✓ Indicates Blanks R@C@iV@d <br /> " 504 524.2_ TTHM^ 537.1 _ TCPJ <br /> E <br /> ✓ MSIMSD Received Method: <br /> Scanned: Rush/Short HT Page: Time: <br /> Page 8of9 <br />