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AbAL31b Ul/012016 <br /> PACEA4800 W 10 <br /> BSK Associates SR-FL-0002-15 <br /> Sample Inte 'ty M <br /> BS Bottles: Ye No Page of _....._..................... <br /> Was temperature Q in range? Were correct containers and preservatives <br /> Chemistry <_6°C Micro 10°C Yes No NA received for the tests requested? Yes No NA <br /> If samples were taken today,is there evidence Were there bubbles in the VOA vials? <br /> that chilling has begun? Yes N NA (volatiles onty) Yes No A <br /> UO ff— <br /> Did all bottles arrive unbroken and intact? No Was a sufficient amount of sample received? No <br /> V Did all bottle labels agree Wdh COC? es No Do sam les have a hold time<72 hours? Yes <br /> Was sodium thiosulfate added to CN sample(s) - Was PM notified of discrepancies? <br /> until chlorine was no longer present? Yes No NA I PM: By/Time: Yes No A <br /> 250m1(A) 500m1(B) ILlter(C)40m1 VOA(V) Cherie P.d? <br /> None (P)WhneC , — — -- <br /> 'Cr6(P)St.CA en Lebd/atUe Cap NN4OP4NH4I2So4 DW Cl,pH>8 Y' N <br /> Cr6(P) P'nkLabevameCar NH0HINH4¢So4WW pH 9.3-9.7 Y N <br /> Cr6(P) sux iaberrende.CaP N1{di]H(N/4t}¢Sp4 7199 <br /> v '"'�HOUR HOOD TNNE•`• PH 9.0-9.5 Y -N <br /> .c HNO3(P)Red Cap — — <br /> M2SO4 (P) or (AG) Ye"-cal` aoar .,PH<2 Y N <br /> NaOH (P)cfeB"caP Cl, pH>10 Y N <br /> y NaOH+ZnAc(P),. pH>S ' -Y N <br /> a' Dissolved Oxygen 300ml(g) — — <br /> 0 <br /> ¢ <br /> None (AG)6ittim8ims2,625,532!832,$8t51, <br /> $270 <br /> L z HC1 — <br /> t HCI (AG)u.ai°a Label 08G;Diesel <br /> W m Na203S+HCI (AG)LtPiMLabel $25 <br /> y Na2S2031 Liter(Brown P)549 — — <br /> W m"Na2S203(AG)BI a Lel-f5471515.54$:THM.524 ` — <br /> ONa2S203(CG)Rbe'.b"' SOa,505 — — <br /> m c, <br /> o Na2S20a+ MCAA(CG)r�a"2a LAW 531 pH<3 :Y N <br /> NH.CI (AG)Pt- Labe' 552 — <br /> 0 <br /> m EDA(AG)13 d LaNl DBPS <br /> m HCL(CG)524.2,BTEX,Gas.MTBE.8260/624 <br /> m <br /> ` Buffer pH 4(CG) ,...:..— - <br /> None (CG) — <br /> E H3PO4(CG)$ev1 Lii-i - <br /> -_ Other: <br /> -.,. . — <br /> Asbesto - UterPlasbc w/Foil - - - <br /> Low Level H /Metals Double Ba ie — — <br /> EOf1*rt Water <br /> Clear Glass Jar: 250 / 500 ! 1 Liter — — <br /> Sod Tube, Srass / Steel 1 RjarsNc — <br /> Tedlar Ba / Plastic Ba — — <br /> .,, I Container 7 Preservative Daterrime/Initials Container Preservative Date/Time/Initials <br /> p S P IIS P <br /> y S P S P <br /> • E <br /> 0 <br /> U <br /> Labeled by: @ Labels checked by: @ RUSH Paged by. @ <br /> Page 10 of 10 <br />