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Page 69 of 73 <br /> WORK ORDER M 1 0-09-2 IZI 0 D <br /> .�ii�?ilPl�tCtl'�8$3y l)17;C. <br /> ' Cooler of_ <br /> CLIENT: i TS DATE: 09102110 <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0eC-6.0eC, not frozen.)) <br /> Temperature ( �eC + 0.50C (CF) = / • 6 °C IJ Blank 1:1 Sample <br /> El 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 ❑ Metals Only ❑ PCBs Only Initial: b' <br /> CUSTODY SEALS INTACT: <br /> ❑ Cooler ❑ ❑ No (Not Intact) ONot Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) 2Not Present Initial: <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... 4 ❑ ❑ <br /> COC document(s) received complete................................................... U ❑ ❑ <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 /> Sample container label(s) consistent with COC..................................... 17� ❑ ❑ <br /> Sample container(s) intact and good condition...................................... if ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... Z ❑ ❑ <br /> Analyses received within holding time................................................. Jul ❑ ❑ <br /> pH / Residual Chlorine / Dissolved Sulfide received within 24 hours........... ❑ ❑ 1,2( <br /> Proper preservation noted on COC or sample container.......................... V( ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s) free of headspace..................................... ❑ ❑ <br /> Tedlar bag(s) free of condensation...................................................... ❑ ❑ P1 <br /> CONTAINER TYPE: <br /> Solid: 04oZCGJ ❑8ozCGJ 016ozOGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCoreso ❑ <br /> ti <br /> Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB ❑125AGBh 0125AGBp X1AGB 01AGBna2 01AGBs <br /> ❑500AGB 0500AGJ 0500AGJs 11250AGB 0250CGB 0250CGBs 01PB 0500PB 0500PBna <br /> 111250PB 0250PBn 0125PB 0125PBznna ❑100PJ 11100PJna2 ❑ ❑ El— <br /> Air: <br /> Air: ❑Tedlaro ❑Summa® Other: ❑ Trip Blank Lot#: LabeledlChecked by:lf <br /> Container: C:Clear A:Amber P: Plastic G: Glass J:Jar B:Bottle Z:Ziploc/Resealable Bag E:Envelope Reviewed by: <br /> Preservative: h:HCl n:HNO3 na2:Na2S206 na:NaOH p:H6PG4 s:H2804 znna:ZnAc2+NaOH f:Field-filtered Scanned by: <br /> SOP T100-000(06110110) <br />