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Page 38 of 40 <br /> �ra ferias . <br /> Aff �1�'!i <br /> �i`67iiehgal� WORK ORDER M 13.07-0 ® El 10 <br /> ,Lsb0r8t0deH Jf"C- <br /> ' Cooler of 3 <br /> CLIENT: Cdr pil- DATE: 07 //�/ 13 <br /> 'TEMPERATURE: Thermometer ID: SC3 (Criteria: 0.0°C-6.0°C, notfrozenexc sediment/tissue) <br /> Temperature Z . �— OC-0.2 eC (CF) = 2 .5 OC Blank ❑ 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: <br /> f <br /> CUS DY SEALS INTACT: <br /> ooler ❑ ❑ No (Not Intaqt) ❑ Not Present ❑ N/A Initial: <br /> fff <br /> ❑ Sample ❑ ❑ No (Not Intact) 2r of Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody(COC)document(s) received with samples................... ❑ ❑ <br /> COC document(s) received complete................... ............................. ❑ ❑ <br /> ❑Collection date/time,matrix,and/or#of containers logged in based on sample labels. <br /> ❑ No analysis requested. ❑Not relinquished. ❑No date/time relinquished. <br /> Sampler's name indicated on COC...................................................... li ❑ <br /> Sample container label(s) consistent with COC.....................................ted ❑ ❑ <br /> Sample container(s) intact and good condition......................................M ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... 12r� ❑ ❑ <br /> Analyses received within holding time................................................. �PK ❑ ❑ <br /> pH / Res. Chlorine/ Diss. Sulfide/ Diss. Oxygen received within 24 hours... ❑ ❑ Xr <br /> Proper preservation noted on COC or sample container..........................0' ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace....................................IPT� ❑ ❑ <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE(: <br /> Solid: 04ozCGGJ 8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCores® ❑TerraCorese ❑ <br /> 3 <br /> Water: ❑VOA . Ah 0VOAna2 0125AGB ❑125AGBh 0125AGBp 01AGB 01AGBna2❑1AGBs <br /> 3 <br /> 0500AGB,0'5OOAGJ 0500AGJs 0250AGB 0250CGB 0250CGBs 01PB 01PBna 11500PB <br /> 0250PB 0250PBn 0125PB 0125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar® El Canister Other: ❑ Trip Blank Lot#: I30--U89 Labeled/Checked by: -fp <br /> Container. C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: <br /> Preservative: h:HCL n:HNO3 na2:Na2s2o3 na:NaOH p:H3PO4 s:H2SO4 u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by: <br /> SOP T1"90(11120112( <br />