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SAMPLES - CONTAINERS & LABELS: <br />Page 43 of 43 <br />WORK ORDER #A 1-05-O © 0 ED <br />❑ Sample(s)/Container(s) NOT RECEIVED but listed on COC <br />❑ Sample(s)/Container(s) received but NOT LISTED on COC <br />-21iolding 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 />Sample label(s) do not match COC — Note in comments <br />,CiSample ID <br />❑ Date and/or Time Collected <br />❑ Project Information <br />❑ # of Container(s) <br />;2'A"nalysis <br />❑ Sample container(s) compromised — Note in comments <br />❑ 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 Tedlaro Bag*) <br />❑ Leaking (transferred into Client's Tedlae Bag*) <br />❑ Other: <br />HEADSPACE — Containers with Bubble > 6mm or'/4 inch: <br />Comments: <br />Sampla k <br />Container <br />IA(s) <br />k o! Vials <br />Receivod <br />Samp)@ # <br />Contalner fD(s) <br />M of Vials <br />Received <br />Sample # <br />Container <br />ID(s) <br /># of Cont. Analysis <br />received <br />Comments: <br />*Transferred at Client's request. <br />Initial / Date: W5�- 05 r,-,6 /11 <br />SUP 11UU_090 (09117110) <br />