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` titieurofins Calscience CLIENT: Z A14 T Page 29 of 29 WORK ORDER #: 14-07- ©© M © Cooler / of f DATE: 07 //j`/ 14 TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0 °C — 6.0'C, not frozen except sedirt , s,, Temperature •—EOC - 0.3 °C (CF) _ d- • �° °C ,lank ❑ Sa p�e 19 2014 ❑ Sample(s) outside temperature criteria (PM/APM contacted by: ) t ❑ Sample(s) outside temperature criteria but received on ice/chilled on same day of sampIF4VIRONMENTAL F IDEPARTMEN ❑ Received at ambient temperature, placed on ice for transport by Courier. Ambient Temperature: I] Air ❑ Filter Checked by: CUSTODY SEALS INTACT: ❑ Cooler ❑ ❑ No (Not Intact) t Present Elli� N/A Checked by: El Sample El No (Not Intact) eJ Not Present Checked by:"Z SAMPLE CONDITION: Yes No N/A Chain -Of -Custody (COC) document(s) received with samples .................../ ❑ ❑ COC document(s) received complete ............................................ ....... lz� ❑ ❑ ❑ Collection date/time, matrix, and/or # of containers logged in based on sample labels. ❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. Sampler's name indicated on COC ..................................................... ❑ ❑ Sample container label(s) consistent with COC ..................................... ❑ ❑ Sample container(s) intact and good condition ...................................... ❑ ❑ Proper containers and sufficient volume for analyses requested ............... ❑ ❑ Analyses received within holding time ................................................. ❑ ❑ Aqueous samples received within 15 -minute holding time ❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... ❑ ❑ X Proper preservation noted on COC or sample container ..........................� ❑ ❑ ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s) free of headspace..................................... ❑ ❑ Tedlar bag(s) free of condensation...................................................... ❑ ❑ X CONTAINER TYPE: Solid: 1]4ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCoreso ❑ Aqueous: ❑V0A;2fV0Ah ❑V0Ana2 ❑125AGB ❑125AGBh ❑125AGBp ❑1AGB ❑1AGBna2 ❑ 1AGBs ❑500AGB gP 00AGJ 0500AGJs ❑250AGB 0250CGB ❑250CGBs ❑1PB 1. ❑1PBna X500PB ❑250PB �1'250%n 0125PB ❑125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ Air: ❑Tedlar° ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: x Container: C: Clear A: Amber P: Plastic G: Glass J: Jar B: Bottle Z: Ziploc/Resealable Bag E: Envelope Reviewed by Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3PO4 s: H2SO4 u: Ultra -pure znna: ZnAc2+NaOH f: Filtered Scanned by.. Kfj SOP T100_090 (06102/14)