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Page 70 of 73 <br /> lEngtorles, hm WORK ORDER #: 10-09-© 0 D ED <br /> bb - Cooler Z of <br /> CLIENT: DATE: 09 /02/ 10 <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0 eC –6.00C, not frozen) <br /> Temperature `- . D OC + 0.5 OC (CF) = Z . -5—°C eBlank ❑ 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 ❑ Metals Only ❑ PCBs Only Initial: D' <br /> CUSTODY SEALS INTACT: <br /> ❑ Cooler ❑ ❑ No (Not Intact) 0'Not Present ❑ N/A Initial: b^L <br /> ❑ Sample ❑ ❑ No (Not Intact) eNot Present Initial: _ <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples................... Zf ❑ ❑ <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..................................................... D( ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... ❑ ❑ <br /> Sample container(s) intact and good condition...................................... ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... Z( ❑ ❑ <br /> Analyses received within holding time................................................. Zf ❑ ❑ <br /> pH / Residual Chlorine/ Dissolved Sulfide received within 24 hours........... ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... Zr ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s) free of headspace..................................... ❑ ❑ <br /> Tedlar bag(s) free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE: <br /> Solid: ❑4ozCGJ ❑8ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCoreso y'❑ ElTerraCorese <br /> Water: ❑VOA ❑VOAh 0VOAna2 ❑125AGB ❑125AGBh ❑125AGBp �IAGB 01AGBn% 01AGBs <br /> 0500AGB 13500AGJ 13500AGJs 0250AGB ❑250CGB ❑250CGBs 01PB ❑500PB ❑500PBna <br /> ❑250PB 11250PBn 0 125P ❑125PBznna 0100PJ 0100PJna2 ❑ ❑ p <br /> Air: ❑Tedlar® ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br /> Container: C:Clear A:Amber P: Plastic G: Glass J:Jar B:Bottle Z:ZlplodResealable Bag E: Envelope Reviewed by: L <br /> Preservative: h:HCL n:HNO, nar:NeiS203 na:NaOH p:HaPO„ a:H2SO4 znna:znAcz+NaOH f:Field-¶aered Scanned by: %t(- <br /> -SOP 7100_090(05110110) <br />