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� � - WORK ORDER #: D ® - D D _ F2 <br /> © 6 <br /> Cooler of <br /> CLIENT: �arSG S DATE: 10 Z�-1 ®,S <br /> TEMPERATURE: (Criteria: 0.0°C- 6.0'C, not frozen) <br /> Temperature d . 6 °C + 1.8°C (CF) = L� . 4°C ❑Blank t Sample <br /> ❑ Sample(s) outside temperature criteria (PM/APM contacted by: ). <br /> ❑ Sample(s) outside temperature criteria but received on ice/chilled on same day of sampling. <br /> ❑ Received at ambient temperature, placed on ice for transport by Courier. <br /> Ambient Temperature: ❑Air ❑Filter Initial: �' L <br /> CUSTODY SEALS INTACT: <br /> ❑ Cooler El ElLr No (Not Intact) Not Present Initial: 12, <br /> ❑ Sample ❑ ❑ No (Not Intact) Act Present Initial: _ (i <br /> SAMPLE CONDITION: <br /> Yes No N/A <br /> Chain-Of-Custody document(s) received with samples................. ❑ ❑ <br /> Sampler's name indicated on COC........................................... lad ❑ ❑ <br /> Sample container label(s) consistent with COC........................... CY ❑ ❑ <br /> Sample container(s) intact and good condition............................ ❑ ❑ <br /> Correct containers and volume for analyses requested................. ❑ ❑ <br /> Proper preservation noted on sample label(s)............................. ❑ ❑ C' <br /> Volatile analysis container(s) free of headspace.......................... ❑ ❑ <br /> Tedlar bag(s) free of condensation.......................................... ❑ ❑ <br /> CONTAINER TYPE:,,�,�� <br /> Solid: ❑4ozCGJ L�8ozCGJ ❑16ozCGJ ❑Sleeve ❑EnCores® ❑TerraCores® ❑ <br /> Water: ❑VOA ❑VOAh ❑VOAna2 ❑125AGB ❑125AGBh ❑125AGBpO4 ❑1AGB ❑1AGBna2 <br /> ❑1AGBs ❑500AGB 0500AGBs ❑250CGB ❑250CGBs ❑1PB ❑500PB 11500PBna ❑250PB <br /> ❑250PBn ❑125PB ❑125PBznna ❑100PBsterile ❑100PBna2 ❑ ❑ <br /> Air: ❑Tedlar iz ❑Summa u ❑ <br /> Checked/Labeled by: P`L <br /> Container: C:Clear A:Amber P:Poly/Plastic G:Glass J:Jar B:Bottle Reviewed by: <br /> Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p04:H3PO4 s:H2SO4 znna:ZnAc2+NaOH Scanned by: <br /> SOP T100_090(10/23/08) <br />