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• • Page 52 of 52 <br /> a�sc�en>c� <br /> y" nvArarrmeerf�t <br /> ;P,*ic� WORK ORDER #: -02- 0 0 0 03 ' <br /> ia�nr�ts�r�teg, <br /> R I <br /> SAMPLES - CONTAINERS & LABELS: Comments: , <br /> ❑Sample(s)/Container(s) NOT RECEIVED but listed on COC (-l)�(-`t) /x I aealy <br /> ❑Sample(s)/Container(s) received but NOT LISTED on COC btu Ken . <br /> ❑ Holding time expired- list sample ID(s)and test ' <br /> ❑ Insufficient quantities for analysis- list test (-p Labeled as S8-1_e20_ fit ' J-Al I I <br /> ❑ Improper container(s) used- list test ca) Id.:25 <br /> ❑ Improper preservative used-list test FS) In belect Rg GN/-4_Q-o2f' o2(d/1( ' <br /> ❑ No preservative noted on COC or label–list test & notify lab Ca I5, L,-O <br /> ❑,�/SSample labels illegible– note test/container type , <br /> 'ample label(s) do not match COC – Note in comments <br /> Sample ID )3xvucls WHO . cvlltehpn 4Yn¢ (F <br /> fd�Date and/or Time Collected Me ree (nbz( is 2/3/II (a 8 tS <br /> ❑ Project Information —� <br /> ❑# of Container(s) <br /> ❑Analysis <br /> ,(Sample container(s) compromised– Note in comments <br /> ❑Water present in sample container ' <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 1/4 inch: <br /> Sample# Container Rec ived Sample# Container lD(s) #of Vigils Sample# Container #of Cont Analysis <br /> ID(s( Recelvetl Received ID(s) received <br /> 551b F /0 <br /> BCDFt' ,b ' <br /> Comments: <br /> *Transferred at Client's request. Initial / Date:,--r-A/ 02 /61/11 <br /> SOP TIDO-090(09/17/10) ' <br />