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Page 7 of 7 <br /> WORK ORDER #:.10-02-0 0 El 0 <br /> ' Cooler of <br /> CLIENT: DATE: OZ /0�)/ 1O <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0°C—6.0°C, not frozen) <br /> Temperature \ . OC + 0.5 0C (CF) = 2- . °C Q 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 /> TTODY SEALS INTACT: <br /> oler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) [D*Not Present Initial: <br /> SAMPLE CONDITION: Yes/ No N/A <br /> Chain-Of-Custody(COC) document(s) received with samples...................Cd' ❑ ❑ <br /> COC document(s) received complete................................................... 2--, ❑ ❑ <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..................................... 2--' ❑ ❑ <br /> Sample container(s) intact and good condition...................................... �7,K' ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... E7'/ ❑ ❑ <br /> Analyses received within holding time................................................. C' ❑ ❑/ <br /> Proper preservation noted on COC or sample container.......................... EJ El <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ <br /> CONTAINER TYPE- <br /> Solid: <br /> YP <br /> Solid: 04ozCGJ ��8OZCGJ ❑l6ozCGJ ❑Sleeve ( ) ❑EnCoreso ❑TerraCores° ❑ <br /> Water: ❑VOA ❑VOAh 0VOAna2 ❑125AGB ❑125AGBh ❑125AGBp ❑1 AGB ❑1 AGBna2 ❑1 AGBs <br /> 0500AGB ❑500AGJ 0500AGJs 11250AGB 0250CGB 0250CGBs 01PB ❑500PB 0500PBna <br /> ❑250PB 0250PBn ❑125PB ❑125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlaro ❑Summa° Other: ❑ Trip Blank Lot#: Checked by: <br /> B:Bot <br /> Container: C:Clear A:Amber P:Plastic G:Glass J:Jartle 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: <br /> SOP T100_090(07116109) <br />