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T It <br /> ,_ ..r_ WORK ORDER - - <br /> #: OO9-Q <br /> _ Wom In <br /> hW <br /> Z Z-0 Cooler of <br /> CLIENT: eaA'1,A_ DATE: �' _/�� /01:� <br /> TEMPERATURE: (Criteria: 0.0°C-6.0°C, not frozen) �� <br /> Temperature -4 - 2— °C - 0.2°C (CF) =4_. 0 °C ❑ Blank I"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 ❑ Metals Only ❑ PCBs Only Initial:ulv!� <br /> CUSTODY SEALS INTACT: <br /> ❑ Cooler ❑ ❑ No (Not Intact) 9Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) 17 Not Present Initial: Y <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC)document(s) received with samples.................../G?r ❑ ❑ <br /> COC document(s) received complete................................................... ❑ ❑ <br /> ❑ Collection date/time,matrix, and/or#of containers logged in based on sample labels. <br /> ❑ COC not relinquished. /11 No date relinquished. KNo time relinquished. <br /> Sampler's name indicated on COC..................................................... 7f ❑ ❑ <br /> Sample container label(s)consistent with COC..................................... �r, ❑ ❑ <br /> Sample container(s) intact and good condition...................................... CX ❑ ❑ <br /> Correct containers and volume for analyses requested........................... ❑ ❑ <br /> Analyses received within holding time.................................................12, ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ fd" <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ Cf7' <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE: <br /> Solid: ❑4ozCGJ ❑8ozCGJ /(116ozCGJ ❑Sleeve ❑EnCoreso ❑TerraCoreso ❑ <br /> Water: ❑VOA ❑VOAh 13VOAna2 ❑125AGB ❑125AGBh ❑125AGBp ❑1 AGB ❑1 AGBna2 ❑1 AGBs <br /> 0500AGB 0500AGJ 0500AGJs 11250AGB ❑250CGB 0250CGBs ❑1PB 0500PB ❑500PBna <br /> 0250PB 0250PBn ❑125PB ❑125PBznna ❑100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar° ❑Summa° ❑ Other: ❑ Checked/Labeled by:., �(�- <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelop Reviewed by: <br /> Preservative: h:HCL n:HNO3 nae:Na2S203 Na:NaOH p:H.;PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: � <br /> SOP T100_090(07116/09) <br />