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L <br />CLIENT: <br />Page 27 of 29 <br />WORK ORDER #: 10-07- 0 <br />a Cooler ?_ of - <br />DATE: 071.9-3 / 10 <br />TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0 °C — 6.0'C, not frozen) <br />Temperature 2- .I OC + 0.5'C (CF) = ' _ . G °C � lank ❑ 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: do <br />CUSy@DY SEALS INTACT: <br />21 Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br />❑ Sample ❑ ❑ No (Not Intact) mot Present Initial: <br />SAMPLE CONDITION: Yes <br />No N/A <br />Chain -Of -Custody (COC) document(s) received with samples ................... <br />2--' <br />❑ ❑ <br />COC document(s) received complete ................................................... <br />. �2- <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 />Sample container label(s) consistent with COC ..................................... <br />2",- <br />❑ ❑ <br />Sample container(s) intact and good condition ...................................... <br />. <br />❑ ❑ <br />Proper containers and sufficient volume for analyses requested ............... <br />❑ ❑ <br />Analyses received within holding time ................................................. <br />d <br />❑ ❑ <br />pH / Residual Chlorine / Dissolved Sulfide received within 24 hours........... <br />❑ <br />❑ 21" <br />Proper preservation noted on COC or sample container .......................... <br />P?_� <br />❑ ❑ <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile analysis container(s) free of headspace..................................... <br />❑ <br />❑ <br />Tedlar bag(s) free of condensation...................................................... <br />❑ <br />❑ ,ice <br />CONTAINER TYPE: <br />Solid: ❑4ozCGJ ❑8ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑ElTerraCoreso <br />Water: ❑VOA ❑VOAh ❑VOAna2 0125AGB ❑125AGBh 1:1125AGBp <br />Zrl22GB <br />131AGBna2 ❑1AGBs <br />❑500AGB 0500AGJ ❑'500AGJs ❑250AGB 0250CGB ❑250CGBs <br />01PB <br />0500PB 0500PBna <br />0250PB ❑250P6n 0125PB 0125PBznna 0100PJ 0100PJna2 ❑ <br />❑ <br />❑ <br />Air: ❑Tedlare ❑Summa® Other: ❑ Trip Blank Lot#: <br />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: HNO,3 na2:Na2S203 na: NaOH p: H3PO4 s: H2304 znna: ZnAc2+NaOH f: <br />Field -filtered <br />Scanned by: 1)( <br />SOP T100 090 (05/10/10) <br />