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® Page 15 of 15 <br /> eurofins <br /> Calscience WORK ORDER #: 14-07-0 © F21 0 <br /> - Cooler k of i <br /> CLIENT: DATE: O7/-3y/ 14 <br /> TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C-6.0°C, not frozen ptsediment/tissue) <br /> Temperature Z . (a °C - 0.3°C (CF) 2 . `� °C Q 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 Checked by: 41,C <br /> YlCU ODY SEALS INTACT: <br /> Cooler ❑ ❑ No (Not Intact) ❑/N1at Present ❑ N/A Checked by: 414.o❑ Sample El No (Not Intact) Not Present Checked by: 4q4,1,� <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..................................................... C1/ ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... ❑ ❑ <br /> Sample container(s) intact and good condition...................................... g/ ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... C� ❑ ❑ <br /> Analyses received within holding time................................................. p ❑ <br /> Aqueous samples received within 15-minute holding time <br /> ❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... !� ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE: <br /> Solid: ❑4ozCGJ ❑ CGJ 016ozCGJ ❑Sleeve (_) ❑EnCorese ❑TerraCoreso ❑ <br /> Aqu us: ❑VOA ZVOAh 0VOAna2 0125AGB ❑125AGBh ❑125AGBp ❑1AGB 01AGBna2 ❑1AGBs <br /> 500AGB ❑500AGJ 0500AGJs 0250AGB 0250CGB 0250CGBs 01PB ❑1PBna 11500PB <br /> 0250PB 0250PBn 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlaro ❑Canister Other: ❑ Trip Blank Lot#: L\ Labeled/Checked by:4AI(b <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 na3:Na2%03 na:NaOH p:H3PO4 s:H2SO4 u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by. <br /> 5°P T100_090(06102114) <br />