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AF T2738 1-GT,En2000 10/19/2022 <br /> BSK Associates SR-FL-0002-23 <br /> to <br /> Sample Integrity <br /> BSK Bottle <br /> Ye No Page .of ................................................_...._.... ........................... <br /> Was temperatu range? es No NA Were correct containers and preservatives Ye NA <br /> Chemist 5 6*C Micro t 8°C received for the tests requested? <br /> If samples were taken today,is there evidence Bubbles Present VOAs(524.2lT7HM1TCP)? Yes A <br /> that chilling.has begun? a No NA TB Received? Check Method Below Y NA <br /> U Did all bottles arrive unbroken and intact? (Yea No Was a sufficient amount of sample received? Ye No <br /> O Did all bottle labels agree with COC? es Do samples have a hold time<72 hours? Yes C N <br /> U <br /> Was sodium thiosulfate added to CN sample(s) Yes Was PM notified of discrepancies? Yes No 6A <br /> until chlorine was no longer present? A PM: By/Time: <br /> 250m1(A)500mi(B) 1Liter(C)40m[VOA(V) 125m1(D) Check$* Passed? <br /> Bacti Na2S203 — — <br /> None(P)while cap — — <br /> Cr6(P)Lt.Green LebsVBlue Cap NH40H(NH4)2SO4 DW Cl,pH>8 P F <br /> Cr6(P) Pink LabellBlue Cap NH40H{NH4)2SO4 YVW pH 9.3-9-7 P F <br /> y <br /> CI-6(P) Black Label6lue Gap NH4gHINH4)2504 7199 <br /> ( ) pH 9.09.5 P F <br /> c `**24 HOUR HOLD TIME— <br /> HNO3(P)Red Cep or HCl (P)Purple CaPU Bios Label — — <br /> C H2SO4 (P) or (AG) Yellow Cap/Label PH<2 P F <br /> m <br /> NaOH (P)Green Cap CI, pH >10 P F <br /> a NaOH +ZnAc(P) pH>9 P F <br /> Dissolved Oxygen 300ml (g) — — <br /> 'o None(AG)8081808118082,1525,83218321,8151.8270 — <br /> m <br /> HCI (AG)LL 51ue tabel p O p1esel.TCP — — <br /> m Ascorbic, EDTA, KH2Ct(AG)Pink Label 525 — — <br /> y NazSO3 250mL(AG)Neon Green Label 515 — <br /> YQ Na2S2031 Liter(Brown P)549 — — <br /> m .� Na2S203(AG)Blue Label 548,THM,524 — — <br /> Na2S2O3(CG)Blue Labs 504,505,547 — — <br /> Na2S2O3+ MCAA(CG)orange Label 531 pH<3 P F <br /> NH4C1(AG)P rple Lam' 552 — — <br /> EDA(P) or (AG)Brown Label DB Ps — — <br /> iti HCL(CG)s24.2,BTEX,Gas,MTBE.8260/624 — — <br /> Buffer pH 4 (CG) — — <br /> H3PO4(CG)Salmbn(a-` — — <br /> Trizma–EPA 537.1 -Field Blank Re wired <br /> Other: <br /> Asbestos 1 L(P)wl Foil 1 LL Metals Bottle — — <br /> Bottled Water — — <br /> Clear Glass — <br /> Solids: Brass 1 Steel / Plastic Ba — — <br /> ,r Container Preservative Lot# Initials Date/Time Preservation Check <br /> CL S P pH Lot# <br /> S P CI Lot# <br /> *Preservation check completed by lab performing analysis. ✓ Indicates Blanks Received <br /> E 504_ 524.2 TTHM_ 537.1 _ TCP_ <br /> E <br /> ° ✓ MSIMSD Received Method: <br /> I U <br /> OPP <br /> Scanned: Rush/Short HT Page: Time <br /> Page 9of9 <br />