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Page 16 of 16 <br /> r<)n1 &nW WORK ORDER # 3 <br /> Zv1bor'st-arles, <br /> enc.. <br /> Box / of <br /> CLIENT: Ca rcl wv DATE: 1010-,1113 <br /> TEMPERATURE: Thermometer ID: SC2 (Criteria: 0.0°C—6.0°C, not frozen except sediment/tissue) <br /> Temperature OC - 0.20C (CF) _ °C ❑ Blank ❑ Sample <br /> ❑ 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: /Air ❑ Filter Initial: FU <br /> CUSTODY SEALS INTACT: <br /> ZBOX ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) .i-Not Present Initial: <br /> SAMPLE CONDITION: Yes/ No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... ❑ ❑ <br /> COC document(s) received complete................................................... ❑ ❑ <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..................................................... ❑/ 0 ❑ <br /> Sample container label(s) consistent with COC..................................... C� ❑ ❑ <br /> Sample container(s) intact and good condition...................................... © ❑ <br /> Proper containers and sufficient volume for analyses requested............... j2r' ❑ ❑ <br /> Analyses received within holding time................................................. . ❑ ❑ <br /> Aqueous samples received within 15-minute holding time <br /> ❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... ❑ ❑ �� <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ -� <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s) free of headspace...... ❑ <br /> Tedlar bag(s) free of condensation. ....................................... ............� ❑ ❑ <br /> CONTAINER TYPE: <br /> Solid: 04ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCorese u <br /> Aqueous: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB ❑125AGBh 0125AGBp 01AGB 01AGBna2 01AGBs <br /> 1:1500AGB 0500AGJ ❑500AGJs ❑250AGB ❑250CGB 0250CGBs 01PB ❑1PBna ❑500PB <br /> 0250PB ❑250PBn 0125PB 0125PBznna ❑100PJ 0100PJna2 C ❑ Ll <br /> Air �JTedlar° ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: <br /> Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4s:H2SO4 u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by: <br /> SOP 7100_090(07131113) <br />