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Page 26 of 29 WORK ORDER #: 10 10 hw ® L�u Cooler k of 'I- CLIENT: �� IC�sL , DATE: 10 /22/ 10 TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C-6.0°C, not frozenn))� Temperature �— . OC + 0.5 OC (CF) = `- • U2-OC LJ Blank ❑ Sample ❑ Sample(s)outside temperature criteria(PM/APM contacted by: ). ❑ Sample(s)outside temperature criteria but received on ice/chilled on same day of sampling. ❑ Received at ambient temperature, placed on ice for transport by Courier. Ambient Temperature: ❑ Air ❑ Filter Initial: T S ODY SEALS INTACT: Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: 07 ❑ Sample ❑ ❑ No (Not Intact) E"N Present Initial: SAMPLE CONDITION: Yes No N/A Chain-Of-Custody (COC) document(s) received with samples................... ❑ ❑ 1 COC document(s) received complete................................................... ❑ ❑ ❑ Collection date/time, matrix, and/or#of containers logged in based on sample labels. ❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. Sampler's name indicated on COC..................................................... El/ Sample container label(s) consistent with COC..................................... J ❑ Sample container(s) intact and good condition...................................... ❑ ❑ Proper containers and sufficient volume for analyses requested............... �" ❑ ❑ Analyses received within holding time................................................. pH / Residual Chlorine / Dissolved Sulfide received within 24 hours........... ❑ ❑ g Proper preservation noted on COC or sample container.......................... ❑ O ❑ Unpreserved vials received for Volatiles analysis Volatile analysis.cohtainer(s)free of headspace..................................... ❑ ❑ Tedlar bag(s)free of Conde sation... CONTAINER TYPE: Solid: ❑4ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCoresv TerraCorese ❑ Watek: ❑VOA ❑VOAh [:1V0iAna2 11125AGB 0125AGBh 0125AGBp Ig1AG6 ❑1AGBna2 01AGBs ❑500AGB ❑500AGJ ❑500AGJs 0250AGB ❑250CGB ❑250CGBs 01PB 0500PB 0500PBna 11250PB 1:1250PBn ❑125PB E]125PBznna ❑100PJ ❑100PJna2 0 ❑ ❑ Air: ❑Tedlar® ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: Container: C:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E.Envelope Reviewed by: Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: SOP T100_090(09113110)