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Page 32 of 32 <br /> r�nme>n ! WORK ORDER #: 13-12-0 El ® 0 <br /> �all'�rafiatr�ls�y ��� <br /> Jill <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑ Sample(s) NOT RECEIVED but listed on COC <br /> ❑ Sample(s) received but NOT LISTED on COC <br /> ❑ Holding time expired — list sample ID(s) and test <br /> ❑ Insufficient quantities for analysis — list test <br /> ❑ Improper container(s) used — list test <br /> ❑ Improper preservative used — list test <br /> ❑ No preservative noted on COC or label —list test & notify lab <br /> ❑ Sample labels illegible— note test/container type <br /> ,Z Sample label(s) do not match COC — Note in comments T <br /> ❑ Sample ID <br /> ❑ Date and/or Time Collected <br /> ❑ Project Information <br /> , 2T'i of Container(s) <br /> ❑Analysis <br /> ❑ Sample container(s) compromised — Note in comments <br /> O Water present in sample container <br /> ❑ Broken <br /> ❑ Sample container(s) not labeled <br /> ❑ Air sample container(s) compromised — Note in comments <br /> ❑ Flat <br /> ❑Very low in volume <br /> ❑ Leaking (Not transferred - duplicate bag submitted) <br /> ❑ Leaking (transferred into Calscience Tedlar° Bag*) <br /> ❑ Leaking (transferred into Client's Tedlar° Bag*) <br /> ❑ Other: <br /> HEADSPACE — Containers with Bubble > 6mm or % inch: <br /> Sample# Container #of Vials Sample# I Container ID(s) #of Vials Sample# I Container #of Cont. Analysis <br /> ID(s) Received Received ` iD(s) received <br /> Comments: <br /> *Transferred at Client's request. Initial / Date:�2z� 12 /Zf /13 <br /> SOP T100_090(08/31111) <br />