SITE HISTORY - Laserfiche WebLink

Home Browse Search

• • Page 51 of 52 faftci� ' irartrnsvrtai WORK ORDER #: 11 -02-® 3❑ ® 3❑ &e,amtoriiss, Inc. Cooler 2--of z- CLIENT: DATE: 02 /E /l I ' TEMPERATURE: Thermometer ID: SCI (Criteria: li—6.11 not frozen) Temperature / .J—OC + 0.5 eC (CF) = -- . 4 dC ❑ Blank , Er6ample ❑ 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. YL- Ambient Temperature: El Air ❑ Filter Initial: ' CUSTODY SEALS INTACT: yc� ❑ Cooler ❑ ❑ No (Not Intact) eNot Present ❑ N/A Initial: ❑ Sample ❑ ❑ No (Not Intact) O Not Present Initial: SAMPLE CONDITION: Yes No N/A Chain-Of-Custody(COC) document(s)received with samples................... 0- ❑ ❑ COC document(s) received complete................................................... 0- ❑ ❑ ❑ 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..................................................... ler- ❑ ❑ Sample container labels) consistent with COC..................................... 0' ❑ ❑ Sample container(s) intact and good condition...................................... 0" ❑ ❑ Proper containers and sufficient volume for analyses requested............... d ❑ ❑ Analyses received within holding time................................................. 2T� ❑ ❑ ' pH / Residual Chlorine/ Dissolved Sulfide received within 24 hours........... ❑ ❑ 2' Proper preservation noted on COC or sample container.......................... 0' ❑ ❑ ❑ Unpreserved vials received for Volatiles analysis Volatile analysis container(s)free of headspace..................................... tr ❑ ❑ Tedlar bag(s)free of condensation...................................................... ❑ ❑ CONTAINER TYPE: Solid: 04ozCGJ 08ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCoresa ❑TerraCores° ❑ 6 Water: ❑VOA �ZVOAh ❑V0Ana2 11125AGB ❑125AGBh 0125AGBp ❑1AGB PT1AGBna2 01AGBs 1:1500AGB 2600AGJ 0500AGJs 11250AGB ❑250CGB ❑250CGBs ❑1PB ❑500PB 1-1500PBna 0250PB ❑250PBn 0125PB ❑125PBznna 11100PJ 0100PJna2 ❑ ❑ ❑ Air: ❑Tedlar® ❑Summa® 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: V ' Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAC2+NaOH f:Field-filtered Scanned by: SOP T100 090(09113110)