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shamtourl"o >ifnr. <br />CLIENT: CA"A!O IfF—I <br />Page 26 of 27 <br />WORK ORDER #: i i -09- D 0 a0 <br />Lj Cooler 1 of <br />DATE: 09 / 23 /11 <br />TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0 °C — 6.0 °C, not frozen) <br />Temperature b • --T- OC + 0.5'C (CF) = t ._�t °C Blank O 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 />CUSTODY SEALS INTACT: <br />O'Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial:_ <br />❑ Sample ❑ ❑ No (Not Intact) Oot Present Initial: <br />SAMPLE CONDITION: Yes <br />No <br />N/A <br />Chain -Of -Custody (COC) document(s) received with samples .................. O' <br />❑ <br />❑ <br />COC document(s) received complete ................................................... <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.......................................................0` <br />❑ <br />❑ <br />Sample container label(s) consistent with COC ..................... I................ ❑ <br />0, <br />❑ <br />Sample container(s) intact and good condition........................................0' <br />❑ <br />❑ <br />Proper containers and sufficient volume for analyses requested.................Er <br />❑ <br />❑ <br />Analyses received within holding time ................................................. -0' <br />❑ <br />❑ <br />pH / Res. Chlorine / Diss. Sulfide / Diss. Oxygen received within 24 hours... ❑ <br />❑ <br />j;a- <br />Proper preservation noted on COC or sample container .......................... ❑ <br />❑ <br />j2' <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile analysis container(s) free of headspace..................................... ❑ <br />❑ <br />;RI- <br />Tedlar bag(s) free of condensation...................................................... ❑ <br />❑ <br />P11 - <br />CONTAINER TYPE: <br />Solid: 1]4ozCGJ 08ozCGJ 1116ozCGJ ;31�leeve ❑EnCoreso ❑TerraCores® ❑ <br />Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB 0125AGBh 0125AGBp 01AGB <br />01AGBna2 ❑1AGBs <br />0500AGB 0500AGJ 0500AGJs 0250AGB 0250CGB 0250CGBs 01PB <br />13500PB 0500PBna <br />0250PB 0250PBn ❑ 125PB ❑ 125PBznna ❑ 100PJ ❑ 100PJna2 ❑ ❑ <br />❑ <br />Air: ❑Tedlara ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br />bt?;C <br />Container. C: Clear A: Amber P: Plastic G: Glass J: Jar B: Bottle Z: Ziploc/Resealable Bag E: Envelope <br />Reviewed by: <br />Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3PO4 s: H2SO4 znna: ZnAc2+NaOH f: Field -filtered <br />Scanned by <br />SOP 7100_090 (03124111) <br />