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190121► <br />Page 28 of 29 <br />WORK ORDER M 10-07-111 0 ❑© <br />U Cooler 3 of 3 <br />DATE: 0712-3110 <br />TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0 °C — 6.0'C, not frozen) <br />Temperature 2 1 <br />._ °C + 0.5 °C (CF) = 2 . I OC tJ 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: a <br />CT7. - Y SEALS INTACT: <br />2 Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br />❑ Sample ❑ ❑ No (Not Intact) Vot Present Initial: <br />SAMPLE CONDITION: Yes No N/A <br />Chain -Of -Custody (COC) document(s) received with samples ................... !a' ❑ ❑ <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......., ............................................. ❑ ❑ <br />Sample container label(s) consistent with COC ..................................... Z1.1' ❑ ❑ <br />Sample container(s) intact and good condition ...................................... EY ❑ ❑ <br />Proper containers and sufficient volume for analyses requested ............... 7' ❑ ❑ <br />Analyses received within holding time ................................................. EY ❑ ❑ <br />pH / Residual Chlorine / Dissolved Sulfide received within 24 hours........... ❑ ❑ Er - <br />Proper preservation noted on COC or sample container .......................... lc:�_ ❑ ❑ <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile analysis container(s) free of headspace..................................... ❑ ❑ If <br />Tedlar bag(s) free of condensation...................................................... ❑ ❑ <br />CONTAINER TYPE: <br />Solid: ❑4ozCGJ ❑8ozCGJ 016ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCoreso ❑ <br />Water: ❑VOA ❑VOAh 0VOAna2 ❑ 125AGB ❑ 125AGBh ❑ 125AGBp ❑-f,AGB ❑ 1 AGBna2 ❑ 1 AGBs <br />❑500AGB 0500AGJ ❑500AGJs 0250AGB 0250CGB 0250CGBs 01PB ❑500PB ❑500PBna <br />❑250PB ❑250PBn 0125PB ❑125PBznna ❑100PJ 0100PJna2 ❑ ❑ ❑ <br />Air: ❑Tedlare ❑Summa° Other: ❑ 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 Reviewed by: <br />Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3PO4 s: H2SO4 znna: ZnAc2+NaOH f: Field -filtered Scanned by:, 01 <br />SOP T100_090 (05/10/10) <br />