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CLIENT: V--�Vv <br />Page 30 of 30 <br />WORK ORDER #: 1 O -O7- ❑ ❑ ® ❑ <br />Cooler � of <br />DATE: 071�_Ll 10 <br />TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0 °C — 6.0'C, not frozen) <br />Temperature 2 . �— OC + 0.5OC (CF) = 2- . _�- °C I� 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. t o <br />Ambient Temperature: ❑ Air 11 Filter ❑ Metals Only ❑ PCBs Only . Initial: W, <br />CUT <br />SEALS INTACT: <br />cooler ❑ ❑ No (Not Intact) 0Not Present CDN/A Initial: <br />E3Sample 1:1 ElNo (Not Intact) 0 loot Present Initial: <br />SAMPLE CONDITION: Yes <br />No <br />N/A <br />Chain -Of -Custody (COC) document(s) received with samples ................... <br />fZi <br />❑ <br />❑ <br />COC document(s) received complete ................................................... <br />❑ <br />❑ <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 />❑ <br />❑ <br />., <br />Sample container label(s) consistent with COC ..................................... <br />❑ <br />❑ <br />Sample container(s) intact and good condition ...................................... <br />❑ <br />Proper containers and sufficient volume for analyses requested ............... <br />1Z <br />❑ <br />❑ <br />Analyses received within holding time ............................................ . <br />pH / Residual Chlorine / Dissolved Sulfide received within 24 hours........... <br />❑ <br />❑ <br />2T, <br />Proper preservation noted on COC or sample container .......................... <br />EJ <br />❑ <br />❑ <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile an?lysis container(s) free of headspace..................................... <br />❑ <br />❑ <br />d <br />Tedlar bag(s) free of condensation...................................................... <br />❑ <br />❑ <br />0 <br />CONTAINER TYPE: <br />Solid: 1]4ozCGJ 1]8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCorese ❑TerraCorese ❑ <br />Water: ❑VOA ❑VOAh 0VOAna2 ❑125AGB ❑125AGBh ❑125AGBp <br />2fAGB <br />01AGBna2 ❑1AGBs <br />❑500AGB ❑500AGJ 0500AGJs ❑250AGB 0250CGB 0250CGBs <br />01PB <br />0500PB ❑500PBna <br />❑250PB 0250PBn ❑ 125PB ❑ 125PBznna ❑ 100PJ ❑ 100PJna2 ❑ ❑ ❑ <br />Air: ❑Tedlaro ❑Summa® Other: ❑ Trip Blank Lot#: Labeled/Checked by: J1( <br />Container: C: Clear A: Amber P: Plastic G: Glass J: Jar B: Bottle Z: Ziploc/Resealable Bag E: Envelope Reviewed by: <br />Preservative: IN: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3PO4 s: H2SO4 znna: ZnAC2+NaOH f: Field -filtered Scanned by: 1A <br />SOP T100090 (05110110) <br />