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AFH3928 FGLLn2000 08/31/2022 <br /> BSK Associates SR-FL-0002-23 <br /> .............. <br /> 10 <br /> Sample Integrity <br /> BSK_ Bottles: YesNo j Page of <br /> Was temperature within ra ? Were correct containers and preservatives <br /> Chemist 5 6°C Micro<8°C Yes )No NA received for the tests requested? <br /> If samples were taken today,is there evidence � No NA Bubbles Present VOAs(524.2fi THM/TCP)? Yes NA <br /> that chillinghas begun? TB Received? Check Method Below Y No <br /> ODid all bottles arrive unbroken and intact? No Was a sufficient amount of sample received? es <br /> U Did all bottle labels agree with COC? s - _o Do samples have a hold time<72 hours? Yes N <br /> Was sodium thiosulfate added to CN sample(s) Was PM notified of discrepancies? <br /> until chlorine was no longer present? Yes PM: By/Time: Yes No A <br /> 250m1(A)500m1(8) lbter(C)40mIVOA(V) 125m1(D) Checks' Passed? <br /> Bacti Na2S203 — — <br /> None(p)white Cap — — <br /> Cr6 (P)LL Green Label/Blue Cap NH40H(NH4)2SO4 DW Cl, pH>8 P F <br /> Cr6 (P) Pink Labevelue Cap NH40H(NH4)2SO4 WW pH 9.3-9.7 P F <br /> a) Cr6 (P) Black Label/Blue Cap NH40H(NH4)2SO4 7199 <br /> c <br /> -24 HOUR HOLD TIME— pH 9.0-9.5 P F <br /> HNO3(P)Red cap Or HCI (P) Purple Cap/LL Blue Label — — <br /> c H2SO4 (P) or (AG) venowCap/Label pH<2 P F <br /> kCIL u NaOH (P)Green Cap Cl, pH>10 P F <br /> N <br /> NaOH+ZnAc(P) pH>9 P F <br /> `o <br /> g Dissolved Oxygen 300ml (g) — — <br /> z <br /> t None(AG)608/8081/8082.625,632/8321,8151,8270 — — <br /> ? Q) HCI (AG)Lt.Blue Label 08G.Diesel,TCP <br /> mku <br /> ai Ascorbic, EDTA, KH2Ct(AG)Pink Labial 525 — — <br /> Na2SO3 250mL(AG)Neoo Green Label 515 — — <br /> a) <br /> U Na2S2031 Liter(Brown P)549 — — <br /> m .� Na2S203(AG)Blue Label 548,THM,524 — — <br /> 0 <br /> Na2S203(CG)Blue La 5041505.547 — — <br /> Na2S203+ MCAA(CG)Orange Label 531 pH <3 P F <br /> m NH4CI (AG)p°'me Label 552 — — <br /> N <br /> m EDA(P) Or (AG) Brown Label DB Ps — — <br /> c HCL(CG)524.2,BTEX,Gas,MTBE,8260/624 — — <br /> m <br /> E Buffer pH 4 (CG) — — <br /> H3PO4(CG)sahm Label — — <br /> Trizma—EPA 537.1 -Field Blank Required <br /> Other. <br /> Asbestos 1 L (P)w/Foil / LL Metals Bottle — — <br /> Bottled Water — — <br /> Clear Glass I — — <br /> Solids: Brass / Steel / Plastic Bag I — — <br /> 2, Container Preservative Lot# Initials Date/Time Preservation Check <br /> Q S P pH Lot# <br /> N S P CI Lot# <br /> 'Preservation check completed by lab performing analysis. ✓ Indicates Blanks Received <br /> a <br /> E 504_ 524.2_ TTHM_ 537.1 _ TCP_ <br /> ✓ MS/MSD Received Method: <br /> Scanned: Rush/Short HT Page: Time: <br /> Page 8 of 9 <br />