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Page 28 of 29 . . ._. WORK ORDER M 10 • ' Cooler of /+ CLIENT: DATE: 10 Ir-2/ 10 TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0°C—6.0°C, not frozen) Temperature �— . 2— °C + 0.5'C (CF) = `L . 1--OC 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: CUS ODY SEALS INTACT: Cooler ❑ 31 ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: �-^`� CC] Sample ❑ ❑ No (Not Intact) i�1 of Present Initial: �`"/ SAMPLE CONDITION: YesNo N/A Chain-Of-Custody (COC) document(s) received with samples................... E/ ❑ ❑ 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 El Sample container label(s) consistent with COC...... .............................. ❑ ❑ Sample container(s) intact and good condition...................................... ❑ ❑ Proper containers and suffigient volume for analyses requested............... ❑ ❑ Analyses received within holding time................................................. ❑ i pH / Residual Chlorine/ Dissolved Sulfide received within 24 hours........... ❑ ❑ Proper preservation noted on COC or sample container.......................... ❑ ❑ ❑ Unpreserved vigils received for Volatiles analysis Volatile analysis.cohtainer(s)free of headspace..................................... ❑ ❑ Tedlar bag(s)free of conde sation...................................................... El CONTAINER TYPE: 4 Solid: ❑4ozCGJ ❑8ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCoreso OTerraCorese ❑ ❑ Wat4: ❑VOA ❑VOAh VC1Ana2 7125AGB 0125AGBh ❑ � 125AGBp I�fAGB 01AGBna2 ❑1AGBs 11500AGB ❑500AGJ 11500AGJs ❑250AGB 13250CGB ❑250CGBs ❑1PB 0500PB ❑500PBna 0250PB 0250PBn ❑125PB ❑125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ Air: ❑Tedlaro ❑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: L Preservative: h:HCL n:HNO3 na2:Na2S203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAcz+NaOH f:Field-filtered Scanned by: [L SOP T100_090(09113110)