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once fr+�rrn�errrF� rt�oraw�e�lr�le�r, Ntc, CLIENT: Page 18 of 18 WORK ORDER #: i i -09-® ® Ma Cooler _L of I DATE: 09101111 TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0 °C — 6.0 °C, not frozen) Temperature 2 OC + 0.5 OC (CF) =2 °Clank ❑ 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 Initial: COST SEALS INTACT: ovler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: ❑ Sample ❑ ❑ No (Not Intact) —01got Present Initial: SAMPLE CONDITION: Yes No N/A Chain -Of -Custody (COC) document(s) received with samples...................0 ❑ ❑ COC document(s) received complete ................................................... P' ❑ ❑ ❑ 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 ....................................................... E' ❑ ❑ Sample container label(s) consistent with COC......................................0 ❑ ❑ Sample container(s) intact and good condition.......................................Z ❑ ❑ Proper containers and sufficient volume for analyses requested ................ ❑ ❑ Analyses received within holding time...................................................2K ❑ ❑ pH / Res. Chlorine / Diss. Sulfide / Diss. Oxygen received within 24 hours... ❑ ❑ Proper preservation noted on COC or sample container .......................... ❑ ❑ ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s) free of headspace..................................... ❑ ❑ Tedlar bag(s) free of condensation...................................................... ❑ ❑ Q� CONTAINER TYPE: l Solid: 04ozCGJ 08ozCGJ 016ozCGJ )216eeve (S_) ❑EnCores® ❑TerraCorese ❑ Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB 0125AGBh 0125AGBp 01AGB 01AGBna2❑1AGBs 0500AGB ❑500AGJ 0500AGJs 0250AGB 0250CGB 0250CGB3 01PB 0500PB 0500PBna 0250PB 0250PBn 0125PB 0125PBznna 0100PJ ❑100PJna2 ❑ ❑ ❑ Air: ❑Tedlaro ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: Container. C: Clear A. Amber P: Plastic 0: Glass J: Jar B: Bottle Z: Ziploc/Resealable Bag E: Envelope Reviewed by: 1E] Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3POa s: H2SO4 znna: ZnAc2+NaOH h Fleld•flltered Scanned by: SOP T100_090 (OL24111)