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Page 20 of 21 WORK ORDER #: 14-02-—M M ' Cooler / of CLIENT: `— DATE: OZ lA l 14 TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C—6.0°C, not frozen except sediment/tissue) Temperature 7 OC - 0.3 OC (CF) _ T °C Blank ❑ Sample ❑ Sample(s) outside temperature criteria (PM/APM contacted by: ) ❑ Sample(s) outside temperature criteria but received on ice/chilled on same day of sampling. ?"'Received at ambient temperature, placed on ice for transport by Courier. Ambient Temperature: El Air El Filter Checked by: 6 7` CUSTODY SEALS INTACT: ❑ Cooler ❑ ❑ No (Not Intact) .2Not Present ❑ N/A Checked by: 6,1 e ❑ Sample ❑ ❑ No (Not Intact) „ZNot Present Checked by: 6� SAMPLE CONDITION: Yes No N/A Chain-Of-Custody (COC) document(s) received with samples................... ❑ ❑ COCdocument(s) received complete................................................... ❑ ❑ ❑ Collection date/time, matrix, and/or#of containers logged in based on sample labels. 0 O ❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. 3 Sampler's name indicated on COC..................................................... 12r ❑ ❑ Sample container label(s) consistent with COC..................................... 01' ❑ ❑ Sample container(s) intact and good condition...................................... �2/ ❑ ❑ Proper containers and sufficient volume for analyses requested............... )Z/ ❑ ❑ Analyses received within holding time................................................. 12' ❑ ❑ Aqueous samples received within 15-minute holding time ❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... ❑ ❑ Proper preservation noted on COC or sample container.......................... ❑ ❑ ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s)free of headspace..................................... ❑ ❑ X Tedlar bag(s) free of condensation...................................................... ❑ ❑ CONTAINER TYPE: Solid: ❑4ozCGJ ❑8ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCorese ❑ Aqueous: ❑VOA ❑VOAh ❑V0Ana2 ❑125AGB ❑125AGBh ❑125AGBp ❑1AGB 01AGBna2 ❑1AGBs ❑500AGB ❑500AGJ ❑500AGJs ❑250AGB ❑250CGB ❑250CGBs 1:11PB ❑1PBna ❑500PB ❑250PB ❑250PBn ❑125PB ❑125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ Air: ❑Tedlaro ❑Canister Other:O�LaT Trip Blank Lot#: Labeled/Checked by: b8 I 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: 759 SOP T100_090(07/31/13)