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11rr�urrrr�t� <br />CLIENT: (—,o YI C e A P— SESSIONS! <br />Page 16 of 16 <br />WORK ORDER #: 11-08-0 IT ® IE <br />Lj Cooler I of 1 <br />DATE: 081,6111 <br />TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0 °C – 6.0 °C, not frozen) <br />Temperature 2 .. G OC + 0.5 °C (CF) = 3 . 1_01C.�4an�k ❑ Sample <br />❑ Sample(s) outside temperature criteria (PM/APM contacted by: �. <br />❑ Sample(s) outside temperature criteria but received on ice/chilled on same day of sampling. <br />❑ Received at ambient temperature, placed on ice for transport by Courier. <br />Ambient Temperature: ❑ Air ❑ Filter Initial: <br />C US )Y SEALS INTACT: <br />ooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br />❑ Sample ❑ ❑ No (Not Intact) 21 Not Present Initial: I(` <br />SAMPLE CONDITION: Yes <br />No <br />N/A <br />Chain -Of -Custody (COC) document(s) received with samples ................... <br />Ji{1 <br />❑ <br />❑ <br />COC document(s) received complete ................................................... <br />!{] <br />❑ <br />❑ <br />❑ Collection date/time, matrix, and/or # of containers logged in based on sample labels. <br />❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. <br />Sampler's name indicated on COC ...................................................... <br />❑ <br />❑ <br />Sample container label(s) consistent with COC ...................................... <br />21 <br />❑ <br />❑ <br />Sample container(s) intact and good condition ....................................... <br />❑ <br />❑ <br />Proper containers and sufficient volume for analyses requested ................ <br />❑ <br />❑ <br />Analyses received within holding time ................................. I................ <br />12( <br />❑ <br />❑ <br />pH / Res. Chlorine / Diss. Sulfide / Diss. Oxygen received within 24 hours... <br />❑ <br />❑ <br />Z" <br />Proper preservation noted on COC or sample container .......................... <br />❑ <br />❑ <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile analysis container(s) free of headspace..................................... <br />❑ <br />❑ <br />Tedlar bag(s) free of condensation...................................................... <br />❑ <br />❑ <br />CONTAINER TYPE: <br />Solid: 04ozCGJ Ppoz= 016ozCGJ ❑Sleeve ❑EnCores® <br />OTerraCorese <br />❑ <br />Water: ❑VOAKh ❑VOAna7 0125AGB 0125AGBh 0125AGBp <br />01AGB <br />01AG8na2 ❑1AGBs <br />z <br />❑500AGB 2f5 AGJ 0500AGJs 0250AGB 0250CGB 0250CGBs <br />01PB <br />0500PB 0500PBna <br />0250PS 0250PBn 0125PB 0125PBznna ❑100PJ ❑100PJna2 ❑ <br />❑ <br />❑ <br />Air: ❑Tedlaro ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Chocked by: <br />Container. C: Clear A. Amber P: Plastic 0: Giass J: Jar B: Bottle Z: Zlploc/Ressalable Bag E: Envelope <br />Reviewed by: <br />Preservative: h: HCL n: HNO3 nai:Na2S203 na: NaOH p: H3P0. s: H2SO4 znns: ZnAc2+NaOH f: Fleld-filtered <br />Scanned by: (L_ <br />SOP T100�_0/ 10=4H1) <br />