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A113,486 FGI,Fn2i(JO 0912812022 <br /> BSK Associates SR-FL-0002-23 <br /> il) <br /> Sample Integrity <br /> BSK Bottles: Yes Pae of <br /> Was temperature within range? No NA Were correct containers and preservatives Yes V NA <br /> �' <br /> Chemistry 5 6°C Micro K 8°C received for the tests re uq ested? <br /> If samples were taken today,is there evidence Yes No Bubbles Present VOAs(524.2TfHMlTCP)? Yes NA <br /> that chillinghas begun? TB Received? Check Method Below e No NA <br /> U Did all bottles arrive unbroken and intact? a No I Was a sufficient amount of sample received? a No <br /> Did all bottle labels agree with COC? e _ Do samples have a hold time<72 hours? es <br /> Was sodium thiasuifate added to CN sample(s) Yes Was PM notified of discrepancies? Yes No A <br /> until chlorine was no longer present? A PM: By/Time: <br /> 250m!(A)500mi(8) 10ter(C)40m1VOA(V)125mi(D) Checks' Passed? !- - <br /> Bacti Na2S203 - - <br /> None(P)While cap - - <br /> Cr6(P)Lt.Green Labev6lue Cap NH40H(NH4)2SO4 OW Cl.pH>8 P F <br /> .01 <br /> Cry(P) Pink Label/Blue Cap NH40H(NH4)2SO4 WW pH 9.3-9.7 P F <br /> .0 Cr6P Black LabeVBl"e Gap NH40H(NH4)2SO4 7199 <br /> c ( ) "2a HOUR HOLD TWE PH 9.0-9.5 P F <br /> HNO3(P)R"Cap or HCI(P)purple Cav+Ll Bice,Labal — — <br /> C° H2SO4 (P) or (AC-G) Yellow c ll"Labe1 pH<2 P F — <br /> NaOH(P)GreenCap Cl,pH>10 P F <br /> `m NaOH+ZnAc(P) pH>9 P F <br /> a Dissolved Oxygen 300ml(g) - - <br /> z <br /> C None(AG)6081808118082,625,63218321,8151,82x0 — — <br /> >d HCI (AG)u.Blue Label O&G,Diesel,TCA <br /> Ascorbic,EDTA,KH2Ct(AG)Plnk Lab,, 525 - <br /> Na2S03 250ML(AG)Neon Green Label 515 — — <br /> Na2S2031 Liter(Brown P)549 - - - -- <br /> C Na2S?03(AG)""A" 548,THM,524 — — <br /> 0 <br /> s Na2S203(CG)BI-Label 504.505,547 — — <br /> U <br /> Na2S203+ MCAA(CG)"ran9e Label 531 pH<3 P F <br /> ? NH4CI(AG)l"n'1e Label 552 - <br /> m EDA(P) or (AG)B`°wn Label DSPs - <br /> HCl.(CG)524.2,BTEX.Gas,MTBE,8260/624 — <br /> 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 / LL Metals Bottle i - - <br /> Bottled Water <br /> Clear Glass - -` <br /> Solids: Brass i Steel 1 Plastic Bad - -- I <br /> Container Preservative Lot# 7t7741 <br /> Preservation Check <br /> o, PP pH Lot <br /> Cl Lot# <br /> •(Preservation chec completed by lab performing analysis. ✓ indicates Blanks Received <br /> : !lO'l ri e�s> -ve 504 524.2— TTHM_ 537.1 TCP_ <br /> t Yli �� "" ✓ MSIMSD Received Method: <br /> ........_... <br /> Scanned: Rush/Short HT Page: Time:-- <br /> Page 9 of <br /> ime: Page9of <br />