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