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AF 3813 i Cil l"112mm 10/28/2072 <br /> BSK Associates SR-FL-0002-23 <br /> Sample Integrity <br /> BSK Bottles: Yes No Pae of l <br /> Was temperature within ran (n"— <br /> J No NA Were correct containers and preservatives es No NA <br /> Chemist S fi°C Micro< 8°C J received for the tests requested? -1 <br /> j? If samples were taken today, is there evidence - Bubbles for <br /> VOAs(524.2f17HM/TCP)? Yes No' A <br /> E that chillinghas begun? Yes No A TB Received? Check Method Below Y o NA <br /> U Did all bottles arrive unbroken and intact? s No Was a sufficient amount of Sample received? Y se No <br /> Did all bottle labels agree with COC? esu No Do samples have a hold time<72 hours? Yes o <br /> U Was sodium thiosulfate added to CN sampl (s) Yes Was PM notified of discrepancies? Yes No A <br /> until chlorine was no longer present? PM: By e: <br /> 250mf(A)500m1(B) 9Lfter(C)40mfVOA(V) 125mi(0) Checks Passed? <br /> Baeti Na2S203 — <br /> None(P)vvhiteCap — <br /> Cr6(P)Lt.Green LabeVBlue Cap NH44H(NH4)2SO4 DW Cl, pH>8 P F <br /> Cr6 (P) Pink Label/Blue Cap NH40H(NH4)2SO4 WW pH 9.3-9.7 P F <br /> t <br /> Cl-6 (P) Blade Label/Blue Cap <br /> NH40H{NH4)2504 7198 <br /> ( ) pH 9.0-9.5 P F <br /> c --24 HOUR HOLD TIME... <br /> HNO3 (P)Red Cap or HCI (P) Qurple Cap/Ltslue Label — — <br /> H2SO4 (P) or (AG) YellowCap"bel pH e 2 P F <br /> m 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 /> None(AG) 608/808118082.625,63218321.8151,8270 — <br /> a� ) <br /> 2 -t- HCI (AG)LI Blue Label O&G,Diesel.TCP — — <br /> m Ascorbic, EDTA, KH2Ct(AG)Phnk Label 525 — — <br /> U) co <br /> l Na2SO3 250mL (AG)Neon Green Label 515 — — <br /> Na2S203 I Liter(Brown P) 549 — — <br /> m .o Na2S203(AG)Blue Label 5413 THM.524 — — <br /> Na2S203(CG)Blue Label 504,505,547 — <br /> D Na2S203+ MCAA(CG)orange Label 531 pH <3 P F <br /> NH4C1 (AG)PurpleLabel 552 — — <br /> T EDA(P) or (AG) Brown Label DBPs —CL — <br /> 02 HCL (CG)524.2,BTEX,Gas,MTBE,8260/624 — — <br /> E Buffer pH 4 (CG) — <br /> = H3PO4(CG)sal—n Label — — <br /> Trizma—EPA 537.1 - Field Blank Required <br /> Other: <br /> Asbestos 111- (P)wl Foil 1 LL Metals Bottle — — <br /> Bottled Water — <br /> Clear Glass — — <br /> Solids: Brass 1 Steel I Plastic Ba — — <br /> ,_, Container Preservative Lot# Initials DatelTime Preserva on Check <br /> a S P pH Lot# <br /> y s P CI Lot# <br /> .Preservation check completed by lab performing analysis. ✓ Indicates Blanks Received <br /> r <br /> E 504_ 524.2_ TTHM_ 537.1 _ TCP <br /> e <br /> ✓ MSIMSD Received Method: <br /> Scanned: Rush/Short HT Page: Time: <br /> Page 8of9 <br />