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f17 <br /> WORK ORDER #: 09.09. <br /> !1E� M= 6" &SQ'Un Cooler x of <br /> CLIENT: 'C'-fM'e�A- DW DATE: ���2� II_ <br /> TEMPERATURE: (Criteria: 0.0°C-6.0°C, not frozen) _/ <br /> Temperature -c - 2--0C - 0.2`C (CF) = A D °C ❑ Blank L-�f Sample <br /> ❑ Sample(s)outside temperature criteria(PMIAPM 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 ❑ Metals Only ❑ PCBs Only Initial: <br /> CUSTODY SEALS INTACT: <br /> ❑ Cooler Cl ❑ No (Not Intact) ErNot Present ❑ NIA initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) ff Not Present Initial: <br /> SAMPLE CONDITION: Yes No NIA <br /> Chain-Of-Custody(COC)document(s)received with samples...................yr ❑ ❑ <br /> COC document(s) received complete................................................... ❑ ❑ <br /> ❑ Collection datettime,matrix,and/or#of containers logged in based on sample labels. <br /> ❑ COC not relinquished. No date relinquished. 2!fNo time relinquished. <br /> Sampler's name indicated on COC..................................................... Cl ❑ <br /> Sample container label(s)consistent with COC..................................... ❑ ❑ <br /> Sample container(s) intact and good condition...................................... Ix ❑ ❑ <br /> Correct containers and volume for analyses requested........................... ❑ ❑ <br /> Analyses received within holding time.................................................� ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ /1 <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ F4' <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ / <br /> CONTAINER TYPE: <br /> Solid: 04ozCGJ 08ozCGJ /I16ozCGJ ❑Sleeve ❑EnCores® ❑TerraCores" ❑ <br /> Water: ❑VOA ❑VOAh 11VOAna2 ❑125AGB ❑125AGBh 111 25AGBp ❑1 AGB ❑1 AGBna2 ❑1 AGBs <br /> 0500AGB 0500AGJ 0500AGJs 13250AGB 0250CGB ❑250CGBs 01PB 0500PB 0500PBna <br /> 0250138 ❑250PBn 0125PB 0125PBznna ❑100PJ ❑100PJnaz ❑ ❑ ❑ <br /> Air: ❑Tedlar® ❑Summa ❑ Other: ❑ Checked/Labeled by:, <br /> Container: C:Gear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:ZlploclResealable Bag E:Envelop Reviewed by: <br /> Preservative: h.HCL n:HNO3 na2:N92S203 Na:NaOH p:H3PO4 s:H2804 znna:ZnAa2+NaOH f:Field-filtered Scanned by: <br /> SOP T100_000(07118109) <br />