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BSK Associates SR -FL -0002-18 <br />Sample Integrity <br />BSK Bottles: Yes A <br />Page 'li, of <br />17 <br />m"iiudi�nNw�mouiA�� <br />ff �t <br />Labeled by: @ 13 Labels checked by: i/ @ , ," RUSH Paged by: —@ <br />Page 9 of 9 <br />Was temperature within range. <br />Yes No NA <br />Were correct containers and preservatives I <br />e No NA <br />Chemist 5 6°C Micro < 8°C <br />received for the tests requested? <br />12 <br />If samples were taken today, Is there evidence <br />Yes No <br />Were there bubbles in the VOA vials? <br />Yes j No(10� <br />that chilling has un? <br />(S <br />(Volatlies Only) <br />ODid <br />all bottles arrive unbroken and intact? <br />e?R4 No <br />Was a sufficient amount of sample received? aV No <br />V <br />Did all bottle labels agree with COC? <br />No <br />Do samples have a hold time <72 hours? <br />Yep <br />Was sodium thiosuifate added to CN sample(s) <br />Yes No <br />Was PM notified of discrepancies? <br />Yes No �I <br />until chlorine was no longer present? <br />PM: Byrrime: <br />250m!(A) 500mt(B) 1Liter(C) 40mt VOA(V) <br />Checks Passed? <br />Ball Na2S203 <br />— <br />— <br />None (P)White Cap <br />— <br />— <br />Crs (P) Lt. Green Labe/Blue Cap NH40H(NH4)2SO4 DW <br />Cl, pH > 8 Y <br />i <br />NTP <br />Cr6 (P) Pink Label/Blue Cap NH40H(NH4)2SO4 WW <br />pH 9.3-9.7 Y <br />N <br />2Ej <br />Cr6 (P) Black Label/Blue Cap NH40H(NH4)2SO4 7199 <br />PH 9.0-9.5 Y <br />N j <br />L <br />—24 HOUR HOLD TIME-* <br />>3 <br />HNO3 (P) Red Cap or HCl (P) Purple COP/LL Blue Label <br />— <br />— <br />€ <br />H2SO4 (P) or (AG) Yellow Cap/Label <br />pH < 2 Y <br />N <br />mPE <br />NaOH (P) Green cap <br />Cl, pH >10 Y <br />N <br />NaOH + ZnAc (P) <br />pH > 9 Y <br />N I <br />o <br />Dissolved Oxygen 300mi (g) <br />-- <br />— <br />None (AG) so8/8081/8082,625,632J8321,8151,8270 <br />— <br />— <br />4 t <br />HCI (AG)Lt. Blue Label O&G, Dlesel <br />— <br />^ <br />a) <br />a� <br />Ascorbic, EDTA, KH2Ct (AG)Pink Label 525 <br />— <br />— <br />h <br />Na2SO3250mL(AG)Neon Green Label 515 <br />w <br />Na2S2031 Liter (Brown P) 549 <br />— <br />— <br />p <br />Na2S203 (AG)Blue Label 548, THM, 524 <br />— <br />— <br />m c` <br />o <br />Na2S203 (CG) Blue Label 504, 505, 547 <br />Na2S203 + MCAA (CG)orange Label 531 <br />pH < 3 Y <br />N <br />NH4CI (AG)Purple Label 552 <br />— <br />— <br />EDA (AG)erown Label DBPs <br />— <br />— <br />HCL (CG) 524.2,BTEX,Gas, MTBE, 8260/624 <br />— <br />— <br />Su <br />Buffer pH 4 (CG) <br />— <br />— <br />£= <br />H3PO4 (CG)SalmonLabel <br />Other: <br />Asbestos 1 Liter Plastic w/ Foil <br />— <br />— <br />Low Level Hg / Metals Double Baggie <br />— <br />— <br />Bottled Water <br />— <br />— <br />Clear Glass 250mL / 500mL / 1 Liter <br />— <br />^ <br />Soil Tube Brass ! tee / Plastic <br />— <br />— <br />Tedlar Bag / Plas Ic Bag <br />— <br />^ <br />,r <br />Container Preservative DatelTime/Initials <br />Container Preservative <br />Daterriline/Initials <br />p. <br />S P <br />S P <br />y <br />S P <br />S P <br />Yt <br />e <br />m <br />E <br />E <br />0 <br />U <br />I <br />ff �t <br />Labeled by: @ 13 Labels checked by: i/ @ , ," RUSH Paged by: —@ <br />Page 9 of 9 <br />