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[�IeAof38 WORK ORDER #: ❑ ® - ❑ E - © FT Cooler of CLIENT: DATE: 10�-2t 1165 TEMPERATURE: (Criteria: 0.0°C — 6.0'C, not frozen) Temperature a . 6 °C + 1 .80C (CF) = L °C ❑Blank trSample ❑ 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: ❑Air ❑Filter Initial: o, L CUSTODY SEALS INTACT: �� Elt Cooler ❑ ❑ No (Not Intact) Not Present Initial: ` ❑ Sample ❑ ❑ No (Not Intact) LJ Not Present Initial: OIL, SAMPLE CONDITION: Yes No N/A Chain-Of-Custody document(s) received with samples................. lt� ❑ ❑ Sampler's name indicated on COC............ ............................... E�' ❑ ❑ Sample container label(s) consistent with COC........................... 1�r ❑ ❑ Sample container(s) intact and good condition............................ EEl El ar Correct containers and volume for analyses requested................. I� ❑ ❑ Proper preservation noted on sample label(s)............................. ❑ ❑ Volatile analysis container(s) free of headspace.......................... ❑ ❑ [ Tedlar bag(s) free of condensation.......................................... ❑ ❑ [� CONTAINER TYPE: Solid: ❑4ozCGJ LJ8ozCGJ ❑16ozCGJ ❑Sleeve ❑EnCores® ❑TerraCores® ❑ Water: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB ❑125AGBh ❑125AGBpo4 ❑1AGB ❑1AGBna2 ❑1AGBs ❑500AGB ❑500AGBs ❑250CGB ❑250CGBs ❑1PB 1:1500PB ❑500PBna ❑250PB ❑250PBn ❑125PB ❑125PBznna ❑100PBsterile ❑100PBna2 ❑ ❑ Air: ❑TedlarCl3- ❑St.unnla�� ❑ Checked/Labeled by: Container: C:Clear A:Amber P:Poly/Plastic G:Glass J:Jar B:Bottle Reviewed by: Preservative: h:HCL n:HNO3 na2:Na2S20,, na:NaOH p04:H3PO4 s:H2SO4 znna:ZnAC2+NaOH Scanned by: tx'y SOP T100_090 (10/23/08)