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Page 9 of 9 <br /> WORK ORDER #: 10-02- ® 0 ® �I <br /> ' Cooler of <br /> CLIENT: DATE: 02 /0/j/ 10 <br /> TEMPERATURE: Thermometer ID: SC1 (Criteria: 0.0°C—6.0°C, not frozen) <br /> Temperature 2 . °C + 0.5°C (CF) = 2 .6°C dank ❑ 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: �&j <br /> CUS Y SEALS INTACT: <br /> ooler ❑ ❑ No (Not Intact) El Not Present ❑ N/A Initial: <br /> ❑ Sample ❑ ❑ No (Not Intact) 21 Not Present Initial: --ViEl <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody (COC) document(s) received with samples...................p� ❑ ❑ <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..................................... ❑ ❑ <br /> Sample container(s) intact and good condition...................................... E1Y ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... �r ❑ ❑ <br /> Analyses received within holding time................................................. Z ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... 1;2/ ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s) free of headspace..................................... ❑ ❑ 2-11"/ <br /> Tedlar bag(s)free of condensation...................................................... El E] CZ <br /> CONTAINER TYPE: <br /> Solid: 04ozCGJ ❑8ozCGJ ❑16ozCGJ ❑Sleeve ( ) ❑EnCorese ❑TerraCorese ❑ <br /> Water: ❑VOA ❑VOAh 0VOAna2 ❑125AGB ❑125AGBh ❑125AGBp ❑1AGB ❑1AGBna2 01AGBs <br /> ❑500AGB 11500AGJ 1771500AGJs ❑250AGB 0250CGB ❑250CGBs 01PB ❑500PB ❑500PBna <br /> C125OPB ❑250PBn 1:1125PB ❑125PBznna ❑100PJ ❑100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlare ❑Summa° Other: ❑ Trip Blank Lot#: 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: <br /> SOP T100_090(07/16/09) <br /> i i Ifl <br />