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Page 31 of 33 <br /> cJeraea <br /> vialnaaaen irl WORK ORDER #: 14-UJ-M El I�L <br /> �0 <br /> SAMPLES - CONTAINERS & LABELS: Comments:' <br /> ❑Sainple(s) NOT RECEIVED but listed on COC <br /> ❑Sample(s) received but NOT LISTED on COC <br /> ❑Holding time expired— list samplelD(s) and test <br /> ❑Insufficient quantities for analysis—'list test <br /> ❑Improper container(s) used— list test' <br /> ❑ Improper preservative used list test <br /> ❑ No preservative noted on COC or label—list test &'notify lab L e4 ecs = <br /> ❑Sample labels illegible-note test/container type V2-311q- 0E-ero <br /> ZSample Iabel(s)'do not match COC 1-Note in comments <br /> SampleID <�14� Ca htoG; yy� <br /> ADate and/or Time Collected i'5 10 `3S§ <br /> El Project Information <br /> ❑# of Container(s) <br /> ❑Analysis <br /> ❑Sample container(s) compromised— Note in comments <br /> ❑Water present in sample container <br /> ❑Broken <br /> ❑ Sample container(s) not labeled <br /> ❑ Air sample container(s)`compromised- Note in comments <br /> ❑ Flat <br /> ❑Very low in volume <br /> ❑ Leaking (Not transferred -duplicate bag submitted) <br /> ❑ Leaking (transferred into Calscience Tedlaro Bag*) <br /> ❑ Leaking (transferred into Client's Tedlar® Bag*) <br /> ❑Other: <br /> HEADSPACE —Containers with Bubble > 6mim or'/< inch: <br /> Sample# -Container #of Vials Sample# Container O(s) #of Vials Sample# Container of Cont. Analysis <br /> ID(s) Received Received. ID(s) received <br /> Comments: <br /> `Transferred at Clients request. Initial / Date: Z Q5<1,7-6f14 <br /> SOP T100_090(08131111) <br />