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111 .1;81 <br /> SSK Associates SR-FL-0002-23-0002-23 FGLFti2opo 10/28/2022 <br /> Sample Integrity 11, <br /> BSK Bottles: Yes rN`o) Page r of <br /> Was temperature within ran Were correct containers and preservatives <br /> Chemist <_6aC Micro[8°C Ye�No NA received for the tests requested? i No NA <br /> if samples were taken today, is there evidenceBubbles Present VOAs(524.21TTHMITCP)? Yes N ' A <br /> that chillinghas begun? Yes No A TB Received? Check Method Below) NA <br /> UDid all bottles arrive unbroken and intact? s� No Was a sufficient amount of sample received? Ye No <br /> O <br /> U Did all bottle labels agree with COC? es3 No Do samples have a hold time<72 hours? Yes o <br /> Was sodium thiosulfate added to CN sampl (s) YesNA ' Was PM notified of discrepancies? Yes No A <br /> until chlorine was no longer present? PM: By/Time: <br /> 250ml(A)500m1(B) tl_iter(C)40m1VOA(V) 125m1(D) Checks Passed? <br /> Sactl Na2S203 — — <br /> None(P)�Wtecap — — <br /> Crs (P)Lt.Green LabellBlue Cap NH40H�NH4)2SO4 DW Cl, pH >8 P F <br /> Cr6 (P) Pink Label/Blue Cap NH40H(NH4)2504 WW pH 9.3-9.7 P F <br /> Cr6 (P) Blade Labeu9lue Cap NH40H(NH4)2$04 7199 <br /> c —24 HOUR HOLD TIME"' pH 9.0'9-5 P F <br /> HNO3 (P)Rea Cap or HCI (P) purple CaplLt.Blue Label — <br /> H2SO,4 (P) or (AG) Yellow CaplLabel pH<2 P F <br /> Na OH (P)Green Cap Cl, pH >10 P F <br /> NaOH +ZnAc(P) pH >9 P F <br /> `o <br /> Dissolved Oxygen 300ml (g) — — <br /> -c zW None(AG) 60818081/8082,525,63218321,8151,8270 -- <br /> (11) t <br /> a �, HCl (AG)LL Mue Label OgG,Diesel,TCP — <br /> Ascorbic, EDTA, KH2Ct(AG)Plnk Label 525 <br /> Hin UN <br /> o Na2SO3 250mL(AG)Neon Green Label 515 — — <br /> w <br /> N22S203 I Liter(Brown P) 549 — — <br /> m Na2S203(AG)Blue Labe' 548 THM,524 — — <br /> 0 <br /> v Na2S2O3 (CG)Blue Label 504,505,547 — -- r <br /> o Na2S203+ MCAA(CG)Orange Label 531 pH <3 P F <br /> NH4CI (AG)purple Label 552 — <br /> rn <br /> w EDA (P) or (AG) 8111wn Label DBPs — <br /> HCL (CG) 524.2,13TEX,Gas,MTBE,8260/624 — — <br /> E Buffer pH 4 (CG) — — <br /> H3PO4 (CG)Salmon Label — <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 / Steel / Plastic Ba — — <br /> +, Container Preservative Lot# Initials Datefrime Preserva on Check <br /> 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 /> a <br /> ✓ MS/MSD Received Method: <br /> Scanned: Rush/Short HT Page: Time: <br /> Page 8of9 <br />