WORK PLANS - Laserfiche WebLink

Home Browse Search

A a �a1s<�le�oe ' r viranmental aboratorles. Inc CLIENT: rr o a?m_ Page 10 of 10 WORK ORDER M 12-03-Q • - 11d of DATE: 03128112 TEMPERATURE: Thermometer ID: SC3 (Criteria: 0.0 °C — 6.0'C, not frozen) Temperature °C - 0.3 °C (CF) _ °C ❑ Blank ❑ 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: QKir ❑ Filter Initial: KZ --- CUSTODY SEALS INTACT:- ❑ Cooler Ff ❑ No Not Intact) ❑ Not Present ❑ N/A Initial: ❑ Sample O o (Not Intact) ❑ Not Present Initial: 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 ...................................................... 0--_� ❑ ❑ Sample container label(s) consistent with COC ...................................... ❑ ❑ Sample container(s) intact and good condition ..... . ..... . ........................... 2--' ❑ ❑ Proper containers and sufficient volume for analyses requested ................ lY ❑ ❑ Analyses received within holding time .................................................. 2---, ❑ ❑ pH / Res. Chlorine / Diss. Sulfide / Diss. Oxygen received within 24 hours... ❑ ❑ LR-*- Proper preservation noted on COC or sample container .......................... ❑ ❑ 121- ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s) free of headspace..................................... ❑ ❑ Tedlar bag(s) free of condensation...................................................... I;2� ❑ ❑ CONTAINER TYPE: Solid: 04ozCGJ 08ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCores° ❑TerraCorese ❑ Water: ❑VOA ❑VOAh ❑VOAnaz ❑125AGB ❑125AGBh 0125AGBp ❑1AGB ❑1AG13na2 ❑1AGBs ❑500AGB ❑500AGJ ❑500AGJs ❑250AGB 0250CGB 0250CGBs 01PB 01PBna 0500PB PBn 0125PB ❑125PBznna 0100PJ ❑100PJnax ❑ ❑250I-Lia El El Air: ❑Summa° Other: ❑ Trip Blank Lot#: Labeled/Checked by: N� Container: C: Clear A: Amber P: Plastic G: Glass J: Jar B: Bottle Z: Ziploc/Resealable Bag E: Envelope Reviewed by:� Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3P0a 5: H2S•04 u: Ultra-pureznna: ZnAcz+NaOH f. Filtered Scanned by SOP T/00_090 (1 210 611 1 )