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Page 29 of 29 <br />`6,i <br />ieWroffml e f <br />a,ratories, Inc. WORK ORDER #: 10 -07 -ID M 0E1111 J1 W I wil L1 :2 <br />SAMPLES - CONTAINERS & LABELS: Comments: <br />❑ Sample(s)/Container(s) NOT RECEIVED but listed on COC <br />❑ Sample(s)/Container(s) received but NOT LISTED on COC <br />❑ Holding time expired — list sample ID(s) and test <br />❑ Insufficient quantities for analysis — list test <br />❑ Improper container(s) used — list test <br />❑ Improper preservative used — list test <br />❑ No preservative noted on COC or label — list test & notify lab <br />❑ Sample labels illegible — note test/container type <br />Ir Sample label(s) do not match COC — Note in comments <br />❑ Sample ID <br />❑'bate and/or Time Collected <br />❑ Project Information <br />❑ # of Container(s) <br />❑ Analysis <br />❑ Sample container(s) compromised — Note in comments <br />❑ Water present in sample container <br />❑ Broken <br />❑ Without Label(s) <br />❑ Air sample container(s) compromised — Note in comments <br />❑ Flat <br />❑ Very low in volume <br />❑ Leaking (Not transferred - duplicate bag submitted) <br />❑ Leaking (transferred into Calscience Tedlar° Bag*) <br />❑ Leaking (transferred into Client's Tedlar° Bag*) <br />❑ Other: <br />HEADSPACE - Containers with Bubble > 6mm or '/4 inch: <br />�' ► 0� CO t i 1 0 N TIS Ptd-- LA 13 L1 <br />c i C <br />I/ , 21r- - <br />(-10 M"0 -10,01J 01.► T IA -P- PW- L,4 -6Q- <br />19 (1 -1J- <br />Sample # <br />Container <br />ID(s) <br /># of Vials <br />Received <br />Sample # <br />Container ID(s) <br /># of Vials <br />Received <br />Sample # <br />Container <br />ID(s) <br /># of Cont. Analysis <br />received <br />Comments: <br />*Transferred at Client's request. <br />Initial / Date: F1 07 /23/10 <br />1116oTIiI'L-TIT i <br />