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ENV-FRM-MIN4-0142 v05 Sample Condition Upon Receipt - Exceptions <br /> Workorder#: <br /> Anything is OVER 6.0°C, MUST be documented in the sections below. It <br /> Temperature Container";, #of <br /> Tracking Number Out of Temp Sample ID <br /> ( C) Type Containers <br /> I <br /> PM Notified of Out of Temp Cooler? ❑YES ❑ NO Multiple Cooler Project? I]YES ❑ NO <br /> If YES,indicate who was contacted,date,and time: <br /> If NO,indicate reason why: ❑All Nitric ❑ Not on ice ❑Sampled same day ❑ Other: <br /> No Temp Blank . Other <br /> Temp Gun: Correction Factor: Or <br /> Read Temp Corrected Temp Average Temp <br /> -7, Z <br /> pH Adjustment Log for Preserved Samples <br /> In <br /> Type of Com liance <br /> Preservative PH Date[Time <br /> Amount Ph ,.After. <br /> Sample ID Upon Added `. Loth Added' ? Initials <br /> Receipt Adjusted (m-- After <br /> HNO3 HzSOa YES NO <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ <br /> COMMENT(S): <br /> Qualtrax ID:52763 Effective Date:06/10/25 Page 1 of 1 <br /> Pace"Analytical Services, LLC(PAS) Page 11 of 11 <br />