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WC Ionce WORK ORDER #: 10-12- ® ® <br /> vJfrlCMffMrrW <br /> ,abomrodee:, ilrrc. ■ U11111:101' Cooler a of 0 <br /> - <br /> CLIENT: p74 DATE: 1212-7110 <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0 eC-6.0'C, not frozen) <br /> Temperature 0 .__7_OC + 0.5°C (CF) = / . �-OC El 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. f <br /> Ambient Temperature: ❑ Air ❑ Filter Initial: <br /> CUSTODY SEALS INTACT: <br /> fd Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: 1 <br /> ❑ Sample ❑ ❑ No (Not Intact) ONot Present Initial: 0-r <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples...................0 ❑ ❑ <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..................................................... .E5, ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... 0 ❑ ❑ <br /> Sample container(s) intact and good condition...................................... e ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... lr� ❑ ❑ <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..........................,P1 ❑ ❑ <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: 04ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCores° ❑TerraCores° Ll- <br /> Water:�QA �VOAh <br /> Water:�Z-VOA �VOAh ❑VOAna2 0125AGB 0125AGSh 0125AGBp ❑1AGB 1]1AGBna2 ❑1AGBs <br /> 0500AGB 0500AGJ 0500AGJs 11250AGB ❑250CGB 0250CGBs 01PB 0500PB 0500PBna <br /> 0250PB 0250PBn 11125PB 0125PBznna ❑100PJ 0100PJna2 ❑ ❑ El- <br /> Air: <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:Ziploc/Reseelable Bag E: Envelope Reviewed by: <br /> -FAPreservative: h:HCL n:HNO3 na2:Na25203 na:NaOH p:H3PO4 s:H2SO4 znna:ZnAc2+NaOH f:Field filtered Scanned by: �- / <br /> SOP T100_090(09113110) <br />