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Egg H.m <br /> 8 <br /> WORK ORDER#: 09-07.® L i <br /> _. <br /> RIATINIMij =11ildi=0 &", Cooler j of /. <br /> CLIENT:'-�N kLL OIL MoDucTS NS DATE: 07 Z7 <br /> TEMPERATURE: (Criteria:0.0°C-WC,not frozen) <br /> Temperature °C - 0.2°C (CF) _ 3 °C ` 0 Blank sample <br /> ❑ Sample(s)outside temperature criteria(PM/APM contacted by:_ 1. <br /> ❑ Sample(s)outside temperature criteria but received-on ice/chilled on same day of sampling. <br /> ti Received at ambient temperature, placed on ice for transport by Courier. <br /> Ambient Temperature: ❑ Air El Filter ❑ Metals Only 0 PCBs Only initial: Ls <br /> Y <br /> CUSTODY SEALS INTACT: <br /> ❑ Cooler. ❑ © Na Not Intact)' <br /> ntac# I�No e � <br /> � { } Present © NIA Initial: <br /> ❑ Sample ❑ ❑ No(Not Intact) PlNot Present Initial:�S <br /> SAMPLE CONDITION: Yes/ No NIA <br /> Chain-Of-Custody(COC)document(s)received with samples................... [3' ❑ <br /> COC documents)received complete................................. .............. ❑ ❑ <br /> ❑ Collection date/time,matrix,and/or#of containers logged In based on sample labels. i <br /> �/ I <br /> ❑•COC not relinquished. L�No date relinquished. VNo time relinquished. k <br /> Sampler's name indicated on COC..................................................... ❑ 13 <br /> Sample container label(s)consistent with COC................... .Rr ❑ ❑ <br /> Sample container(s)intact and good condition....................................... EI ❑ <br /> Correct containers and volume for analyses requested....................... 19" ❑ ❑ <br /> Analyses received within holding time........................................... .. 12"" ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... CI M. ¢( <br /> ❑ Unpreserved vials received for Volatiles analysls - <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ Id <br /> Tedlar bag(s)free of condensation....................................................... © ❑ <br /> CONTAINER TYPE: <br /> Solid: 04ozCGJ 08ozCGJ R(leozCGJ ❑Sleeve ❑EnCorese ❑TerraCorese ❑ <br /> Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB 11125AGBh 0125AGBp 01AGB 01AGBna2 ❑1AGBs <br /> 11500AGB 0500AGJ ❑500AGJs 0250AGB 0250CGB 0250CGBs 01PB 0500PB 0500PBna <br /> 0250PB ❑250PBn 0125PB ❑125PBznna 13100PJ .0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlare ❑Summa® ❑ Other: ❑ - Chacked/Labeled by: <br /> Container: C:Clear A:Amber P:Plastic 0:Glass J:Jar B:Bottle Z.ZiplocMesealable Bag E:Envelop Reviewed by: SC <br /> f Preservative: h:HCl. n:M09 na2:Na2s20.a Na:NaOH p:1-6PO4 s:HrSO4 znna:7.nAta+NaOH f:Flel"Itered Scanned by. <br /> I <br /> SOP T100 890(07116109) <br />