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octet . Im"Mezdal Page 17 of 17 WORK ORDER #A 1 -08-0 © ®2 CLIENT: ca&0610 DATE TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0 °C - 6.0 °C, not frozen) Temperature Z • G OC + 0.5 OC (CF) = 3 . 1 -°C ank [.Sample ❑ Sample(s) outside temperature criteria (PM/APM contacted by: ). ❑ Sample(s) outside temperature criteria but received on ice/chilled on same day of sampling. ❑ Received at ambient temperature, placed on ice for transport by Courier. Ambient Temperature: ❑ Air ❑ Filter tnitlal: . Cooler i of 1 : 08126111 CUSYMY SEALS INTACT: ooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: I Z2 ❑ Sample ❑ ❑ No (Not Intact) ,,2*9ot Present Initial: IGLU: SAMPLE CONDITION: Yes No N/A Chain -Of -Custody (COC) document(s) received with samples ......... ...... ...' ❑ ❑ COC document(s) received complete ................................................... ❑ ❑ ❑ Collection date/time, matrix, and/or # of containers logged in based on sample labels. ❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. Sampler's name indicated on COC ...................................................... ja- ❑ ❑ Sample container label(s) consistent with COC.....................................ea ❑ ❑ Sample container(s) intact and good condition ................................... ❑ ❑ Proper containers and sufficient volume for analyses requested ............... ea ❑ ❑ Analyses received within holding time..................................................,a ❑ ❑ pH / Res. Chlorine / Diss. Sulfide / Diss. Oxygen received within 24 hours... ❑ ❑ Iz- Proper preservation noted on COC or sample container .......................... ❑ ❑ .E!r- ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s) free of headspace..................................... ❑ ❑ Tedlar bag(s) free of condensation...................................................... El 13CONTAINER TYPE: Solid: 04ozCGJ 08ozCGJ 016ozCGJ O leeve ❑Encores® ❑TerraCoreO ❑ Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB 0125AGBh 0125AGBp ❑1AGB 01AGBn.a2❑1-AGBs 0500AGB 0500AGJ 0500AGJs 0250AGB 0250CGB 0250CGB9 01PB 0500PB 0500PBna 0250PB 0250PBn ❑1251313 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ Air: ❑Tedlar® ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Chocked by: Container. C: Clear A. Amber P: Plastic G: Glass J: Jar B: Bottle Z: ZlplwResealable Bag E: Envelope Reviewed by: Preservative: h: HCl n: HNO3 na2:Na2S203 na: NaOH p: H3Po4 s: H2$0. znna: ZnAc2+NaOH f: Field -filtered Scanned by: SOP 7100_090 (07124111)