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Page 26 of 27 <br /> ,it <br /> ,�i ,n a l WORK ORDER #: 14-02-M M El 1E <br /> SAMPLES - CONTAINERS & LABELS: Comments: <br /> ❑ Sample(s) NOT RECEIVED but listed on COC <br /> ❑ Sample(s) received but NOT LISTED on COC <br /> ❑ Holding time expired — list sample ID(s) and test <br /> ❑ Insufficient quantities for analysis— list test <br /> ❑ Improper container(s) used — list test <br /> mproper preservative used — list test 'VC4 M,e� S <br /> ❑ No preservative noted on COC or label —list test & notify lab '� �Pl'! �Y"✓-C d( . <br /> ❑ Sample labels illegible — note test/container type <br /> ❑ Sample label(s) do not match COC — Note in comments <br /> ❑ Sample ID <br /> ❑ Date and/or Time Collected <br /> ❑ Project Information <br /> ❑# of Container(s) <br /> ❑Analysis <br /> ❑ Sample container(s) compromised — Note in comments <br /> ❑Water present in sample container <br /> C <br /> ❑ Broken <br /> ❑ Sample container(s) not labeled <br /> ❑ Air sample container(s) compromised — Note in comments <br /> ❑ Flat <br /> ❑Very low in volume <br /> ❑ Leaking (Not transferred - duplicate bag submitted) <br /> ❑ Leaking (transferred into Calscience Tedlar° Bag*) <br /> ❑ Leaking (transferred into Client's Tedlar° Bag*) <br /> ❑ Other: <br /> HEADSPACE — Containers with Bubble > 6mm or '/4 inch: <br /> Sample# Container #of Vials Sample# Container ID(s) #of Vials Sample# Container #of Cont. Analysis <br /> ID(s) Received Received ID(s) received <br /> Comments: <br /> *Transferred at Client's request. Initial / Date: S�02 /2-}/14 <br /> SOP T100_090(08/31/11) <br />