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1 <br /> l <br /> AFJ104 9 FGLEn2000 10107/2022. <br /> ESK Assuc dU; SR-FL-CI002-23 .................. <br /> ......... .. . <br /> 10 <br /> Sample Integrity <br /> BSK Bottles: Yes No Page of __.. ..............:` <br /> Was temperature within ran Ye Na NA Were correct contai ers and preservatives es Na NA <br /> Chemist 5 6°C Micro<80C received for the tests requested? <br /> If samples were taken today.is there evidence Yes No NA Bubbies Present VgAs(524.21TTHM/TCP)? Yes NA <br /> that chillinghas t>e un? TB Received? Check Method Below Yes Xb NA <br /> ODid all botties arrive unbroken and intact? No Was a sufficient amount of sample received? a No <br /> U Did all bottle labels agree with COC? s No Do samples have a hold time<72 hours? Yes <br /> Was sodium thiosulfate added to CN sample(s) Yes A Was PM notified of discrepancies? Yes No <br /> until chlorine was no longer present? PM: BylTime: <br /> 250mt(A)500m1(B) lUter(C)40mlVOA(V) 125m1(D) Checks' PasseV <br /> Bacti Na2S203 — — <br /> None (P)whilecap — — <br /> Cr6(P)lL Green Label/Blue Cap NH40H(NH4)2So4 OW Cl,pH>8 P F <br /> -o Cr6 (P) Pin%Label/Blue Cap NH40H(NH4)2SO4 WW pH 9.3-9.7 P F <br /> Cr6(P) Blade LabellBlue Cap NH40H(NH4)2SO4 7199 <br /> --24 KOURUpH 9.0-9.5 P F <br /> HNO3(P)Red Cap or HCI(P)PurnleCap+U BlueLabel H2SO4 (P) or (AG) Yemwcapn-sbel pH<2 P F <br /> aNaOH (P)Green Cap CI,pH>10 P i= <br /> NaOH +ZnAc(P) pH>9 P F <br /> 0 <br /> a Dissolved Oxygen 300m] (g) — — <br /> z <br /> 1Q Norte(AG)60MB11J15082,625,6328321.8151.8270 —CD — <br /> HCI (AG)u.Blue Label 08G,Diesel,TCP — — <br /> Ascorbic, EDTA, KH2Ct(AG)Plnk Label 525 — — <br /> UNa2SO3 250mL(AG)Nenn Green Label 515 — — <br /> Na2S2031 Liter(Brown P)549 — — <br /> MO e Na2S203(AG)Blue Label 5548THM,524 — <br /> Na2S203(CG)Blue Label 504.505,547 — — <br /> 2 Na2S203+ MCAA(CG)orangeLabel 531 pH 3 P F <br /> in <br /> y NH4CI(AG)Pu"Label 552 — <br /> �' EDA (P) or (AG)Brown Label DBPs — — <br /> c HCL(CG)524.2,BTEX,Gas.MTBE,82601624 — — <br /> E Buffer pH 4 (CG) — — <br /> H3PO4(CG)Safnw 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 — — <br /> Solids: Brass / Steel 1 Plastic Ba — — <br /> r Container Preservative Lot# Initials DatelTime Preservation Check <br /> M. S P pH Lot # <br /> rn S P _ Cl Lot# <br /> *Preservation check completed by lab performing analysis. ✓ Indicates Blanks Received <br /> �0 f-' 504_ 5242 1, TTHM_ 537.1 ` TCP_ <br /> E r - l <br /> E <br /> ✓ MS/MSD Rimalved Method: <br /> Scanned: Rush/Short HT rage Time. <br /> Page 8of9 <br />