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Page 15 of 15 <br /> I=U"M WORK ORDER #: 13-11 - ® D <br /> ra=boratades, Inc- <br /> Box / of <br /> CLIENT: C ct P-c(tA o L`-TL-I DATE: 11 /0(o / 13 <br /> TEMPERATURE: Thermometer ID: SC2 (Criteria: 0.0°C-6.0°C, not frozen except sediment/tissue) <br /> Temperature 0 OC - 0.2°C (CF) _ °C El Blank El Sample <br /> 1:1 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: ZX'ir ❑ Filter Checked by: F� 6 <br /> CUSTODY SEALS INTACT: <br /> ❑ Box ❑ No (Not Intact) Not resent 11N/A Checked by: <br /> ❑ Sample ElO❑ No (Not Intact) of Present Checked by: � <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples....................e� ❑ ❑ <br /> COC document(s) received complete.....................................................lY ❑ ❑ <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..................................................... .Ll--" ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... El-- ❑ ❑ <br /> Sample container(s) intact and good condition...................................... Er"- ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... ❑ ❑ <br /> Analyses received within holding time................................................. � ❑ ❑ <br /> Aqueous samples received within 15-minute holding time <br /> ❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... ❑ ❑ 011, <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ -EY-- <br /> El <br /> EY'❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s) free of headspace..................................... ❑ ❑ <br /> Tedlar bag(s) free of condensation...................................................... ;j--, ❑ ❑ <br /> CONTAINER TYPE: <br /> Solid: 04ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCoreso D <br /> Aqueous: ❑VOA ❑VOAh ❑VOAna2 11125AGB 0125AGBh 0125AGBp 01AGB 01AGBna2 111AGBs <br /> ❑500AGB ❑500AGJ 0500AGJs 0250AGB 0250CGB ❑250CGBs ❑1PB 01PBna 1:1500PB <br /> 0250P 50PBn 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: edlar5 ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: WD <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealabie Bag E:Envelope Reviewed by: <br /> Preservatfve: h:HCL n:HNOS na2:Na2S203 na:NaOH p:H3PO4 s:112SO4 u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by: <br /> SOP T100_090(07131113) <br />