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Page 27 of 29 <br /> WORK ORDER M 1O'10'Q 0E21 Ell <br /> • ' Cooler 2- of <br /> X i <br /> -'1 C XarL DATE: 10 AM/ 1 <br /> CLIENT: 0 <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.00C—6.00C, not frozen_) <br /> - Temperature 2— . 5 °C + 0.5°C (CF) = `� .b °C ICI 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 /> E <br /> ODY SEALS INTACT:er ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial:ple ❑ ❑ No (Not Intact) of Present Initial: <br /> FSAMPLE CONDITION: Yes/ No N/A <br /> Custody(COC) document(s) received with samples...................�" ❑ ❑ <br /> s <br /> ment(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 /> C1 0 <br /> Sampler's name indicated on.COC..............................................•••••••. <br /> Sample container label(s) consistent with COC............ ❑ 13 <br /> Sample container(s) intact and good condition...................................... �/ ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... �" ❑ ❑ <br /> Analyses received within holding time...........................................•••••• ❑ ❑ <br /> pH / Residual Chlorine / Dissolved Sulfide received within 24 hours........... ❑—/ ❑ <br /> Proper preservation noted on COC or sample container.................I........ ❑ <br /> ❑ Unpreserved vidis received for Volatiles analysis <br /> Volatile analysis.container(s)free of headspace............... .................... ❑ ❑ <br /> Tedlar bags)free of Conde sation...................................................... ❑ <br /> CONTA114ER TYPE: <br /> Solid: 04ozCGJ 08ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCorese TerraCores® ❑ <br /> Watek: ❑VOA ❑VOAh <br /> EIV ❑125AGB 0125AGBh ❑125AGBp Z1AGB ❑1AGBna2 ❑1AGBs <br /> 0500AGB 0500AGJ ❑500AfGJs 0250AGB 0250CGB 0250CGBs ❑1PB 11500PB 0500PBna <br /> 0250PB ❑250PBn 11125PB 11125PBznna 0100PJ 0100PJna2 O ❑ ❑ <br /> Air: ❑Tedlar® ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br /> Container: c:Clear A.Amber.P:Plastic G:Glass ;—Jar B:Bottle Z:Ziploc/Resealable Bag E.Envelope Reviewed by: <br /> Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field-filtered Scanned by: <br /> SOP T100 080(08113110) <br />