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Al-J2734 FGLEitiil()(l 10/19/2022 <br /> i3SK Associates SR-FL-0002-23 <br /> Sample Integrity <br /> BSK Bottles Yes No Page of : <br /> Was temperatu _ ge? es No NA Were correct containers and preservatives Yes NA <br /> Chemistry5 6"C Micro<8"C received for the tests requested? <br /> If samples were taken today,is there evidence Bubbles Present VOAs(524.21TTHMfTCP)? Ye A <br /> that chillinghas begun? Yes No NA TB Received? Check Method Below e o NA <br /> Did all bottles arrive unbroken and intact? No Was a sufficient amount of sample received? Yes <br /> U Did all bottle labels agree with COC? YO No Do samples have a hold time X72 hours? Yes <br /> Was sodium thiosulfate added to CN sample(s) Was PM notified of discrepancies? <br /> until chlorine was no longer present? Yes NA PM: By/Time- Yes No NA <br /> 250ml(A)500mt(S)9Liter(C)40mtVOA(V) t 25mt(D) Checks Passed? <br /> Bacti Na2S203 — — <br /> None(P)whitecap — — <br /> Cr6(P)LL Green LebeMlue Cap NH40H(NH4)2s04 OW Ci,pH>8 P F <br /> Crfi (P) Pink LabellBlue Cap NH40H(NH4)2SO4 WW pH 9.3-9.7 P F <br /> L Crfi (P) Blarx[abell9lueCap NH40H(NH4)2504 7199 pH 9.0-9.5 P F <br /> c <br /> "24 HOUR HOLD TWE"` <br /> H NO3(P)Red cap or HCI (P)Purple GaWLS.Blue Label — — <br /> E <br /> H2SO4 (P) or (AG) YeWwCap&abel pH<2 P F <br /> QNaOH (P)Green Cap Cl, pH>10 P F <br /> NaOH+ZnAc(P) pH>9 P F <br /> 0 <br /> Dissolved Oxygen 300ml (g) — — <br /> 'd N None(AG)ISOM08118082.625,632/8321,8151,8270 — -- <br /> HCl (AG)LI.Blue Label O&G.Diesel.TCP — — <br /> Ascorbic, EDTA, KHzCt(AG)P'"k Lapel 525 —CD <br /> — J <br /> Na2S03 250m (AG)Neon Green Lapel 515 — — f <br /> w <br /> :? Na2S2031 Liter(Brown P)549 — — <br /> 0 Na2S203(AG)B'—Label 548 THM 524 — — <br /> O Blue LabelNa2S203(CG) 504,505,547 — — <br /> Na2S203+ MCAA(CG)oraNeLabel 531 pH<3 P F <br /> NH4Cl(AG)p'"*Labo1 552 — — <br /> �' EDA(P) or (AG)Brown Label DBPs — — <br /> C HCL(CG)524.2,13TEX.Gas.MTBE,8260/824 — — <br /> E Buffer pH 4(CG) — — <br /> H3PO4 (CG)salnwo 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 / Plastic Ba — — <br /> Container Preservative Lot# Initials Dateffime Preservation Check <br /> 'Q s P pH Lot# <br /> N S P Cf Lot# <br /> *Preservation check completed by tab performing analysis. ✓ Indicates Blanks Received <br /> 504_ 524.2 TTHM_ 537.1 _ TCP_ <br /> E <br /> ✓ MS/MSD Received Method: <br /> Scanned: Gf-P Rush/Short HT Page: Time: <br /> Page 9of9 <br />