Laserfiche WebLink
Page 40 of 40 1 <br /> WORK ORDER #: 13-07-0 © S❑ <br /> AVE Wo. <br /> Cooler 3 of <br /> CLIENT: C DATE: 07 /17-/ 13 <br /> TEMPERATURE: Thermometer ID: SC3 (Criteria: 0.0°C-6.0°C, not frozen =lank' <br /> ediment/tissue) <br /> Temperature I °C- 0.2OC (CF) = I OC ❑ Sample <br /> ❑ Sample(s)outside temperature criteria (PM/APM contacted by: ). <br /> ❑ Sar le(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 /> CUS DY`SEALS INTACT: <br /> ooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) Jot Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> Cham-Of-Custody (COC) document(s) received with samples.... ......... ❑ ❑ f <br /> COC document(s) received complete......... .... ..... ...... . .. . ... ... .....O' ❑ ❑ <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 /> Samplers name indicated on COC.. .... ........... . ..... ... . ........ . ... 1p-� ❑ ❑ <br /> Sample container label(s) consistent with COC... ...... ..... . ..... . .. ....Z/ ❑ ❑ <br /> Sample container(s) intact and good condition. .. ...... ............: ....... .. .'a, ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested........... . . 12T, ❑ ❑ <br /> Analyses received within holding time.......... ........... .. .......... . . ...11e, ❑ ❑ <br /> pH / Res. Chlorine / Diss. Sulfide/ Diss. Oxygen received within 24 hours... ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis containers)free of headsp ace............... . ....... ... . .. .. ❑ ❑ _FfK <br /> Tedlar bag(s) free of condensation...................................................... ❑ ❑ <br /> 101 <br /> CONTAINER TYPE: <br /> Solid: ❑4ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCores'o ❑TerraCores° ❑ <br /> Water: ❑VOA ❑VOAh 0VOAna2 0125AGB 0125AGBh 0125AGBp ❑1AGB ❑1AGBnaz ❑1AGBs <br /> 0500AGB,?f500AGJ ❑500AGJs 0250AGB ❑250CGB 11250CGBs ❑1PB ❑1P13na 0500P8 <br /> 0250PB 0250PBn ❑125PB 0125PBznna 0100PJ ❑100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlar® ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by:Q <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope ' Reviewed by: -0/ <br /> Preservative: h:HCL m HNO,n%:N62S203 na:NaOH p:H3POe s:H2SO4 u:Ultra-pure znna:ZnAcz+NaOH f:Filtered Scanned by•�r <br /> SOP T100090(11120112) <br />