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Page 25 of 27 rM WORK ORDER #: 14-02-® L LJ Lai ;Laboratories, rltic. Cooler � of CLIENT: �C_t fv�,+D- cp DATE: 02 /2-4/ 14 TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C —6.0°C, not frozen except sediment/tissue) Temperature 2 . 4�- OC - 0.30C (CF) = r;�, . -3 °C Ctlank ❑ 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. eceived at ambient temperature, placed on ice for transport by Courier. Ambient Temperature: ❑ Air ❑ Filter Checked by: CUSTODY SEALS INTACT: ,�.-- ❑ Cooler ❑ ❑ No (Not Intact) ®'Not,Present ❑ N/A Checked by: ❑ Sample ❑ ❑ No (Not Intact) Not Present Checked by: SAMPLE CONDITION: Yes No N/A Chain-Of-Custody (COC) document(s) received with samples................... ❑ ❑ I t COC document(s) received complete................................................... �21 ❑ ❑ ❑ Collection date/time, matrix, and/or#of containers logged in based on sample labels. 0 ❑ 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........... ❑ ❑ Ld Proper preservation noted on COC or sample container.......................... ❑ ;?T1 ❑ ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s) free of headspace..................................... ❑ ❑ �` Tedlar bag(s) free of condensation...................................................... ❑ ❑ ;a' CONTAINER TYPE: Solid: 04ozCGJ ❑80ZCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCores° ❑ Aqueous: ❑VOA ❑VOAh ❑V0Ana2 ❑125AGB 0125AGBh ❑125AGBp 71AGB ❑1AGBna2 ❑1AGBs 0500AGB ❑500AGJ ❑500AGJs ❑250AGB 0250CGB 0250CGBs 1:11PB ❑1PBna V45OOPB ❑250PB ❑250PBn ❑125PB ❑125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ Air: ❑Tedlar° ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: Container: C:Clear A:Amber P:Plastic G: Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: i�iZ4 Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by: f� SOP T100_090(07131113)