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0 <br />I 14HS <br />Page 26 of 29 <br />WORK ORDER #: 1 0-07- ❑ ® 0 <br />U Cooler I of <br />DATE: 0712-3110 <br />TEMPERATURE: Thermometer ID: SCI (Criteria: 0.0 °C — 6.0 °C, not frozen) <br />Temperature I .� °C + 0.5 °C (CF) = '2—.�°C dd'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 ❑ Metals Only ❑ PCBs Only Initial: <br />CUFF SEALS INTACT: <br />21 Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br />❑ Sample ❑ ❑ No (Not Intact) o -Not Present Initial: _ <br />SAMPLE CONDITION: Yes <br />No <br />N/A <br />Chain -Of -Custody (COC) document(s) received with samples ................... <br />[� <br />❑ <br />❑ <br />COC document(s) received complete ................................................... <br />2 <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 />Ek --- <br />Sample container label(s) consistent with COC ..................................... <br />❑ <br />.B" <br />❑ <br />Sample container(s) intact and good condition ...................................... <br />c?"" <br />❑ <br />❑ <br />Proper containers and sufficient volume for analyses requested ............... <br />❑"' <br />❑ <br />❑ <br />Analyses received within holding time ................................................. <br />2 <br />❑ <br />❑ <br />pH / Residual Chlorine / Dissolved Sulfide received within 24 hours........... <br />❑ <br />❑ <br />Rr�_ <br />Proper preservation noted on COC or sample container .......................... <br />2-1-- <br />❑ <br />❑ <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile analysis container(s) free of headspace..................................... <br />❑ <br />❑ <br />El" <br />Tedlar bag(s) free of condensation...................................................... <br />❑ <br />❑ <br />2" <br />CONTAINER TYPE: <br />Solid: 134ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCoreso <br />❑TerraCoreso ❑ <br />Water: ❑VOA ❑VOAh 11VOAna2 11125AGB 11125AGBh 0125AGBp <br />21-AG6 <br />01AGBna2 ❑1AGBs <br />11500AGB 0500AGJ 0:500AGJs ❑250AGB 0250CGB 0250CGBs <br />01PB <br />❑500PB ❑500PBna <br />0250PB ❑250PBn 0125PB 11125PBznna 0100PJ ❑100PJna2 ❑ <br />❑ <br />❑ <br />Air: ❑Tedlare ❑Summa° Other: El -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 <br />Reviewed by: <br />Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3PO4 s: H2SO4 znna: ZnAc2+NaOH f: <br />Field -filtered <br />Scanned by: �[7 <br />SOP T100090 (05/10/19) <br />