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I <br /> AGK0458 McCam9262 11/03/2023 <br /> BSK Associates SR-FL-0002-24 <br /> 5 <br /> Sample Integrity <br /> BSKBattles: Ye N Page of ..................................................................................................... ... - <br /> Was temperature withi a s No NA Were correct containers and preservatives Y No NA <br /> Chemist S 60C Micro a 80C received for the tests requested? <br /> w If samples were taken today,is there evidence Bubbles Present VOAs(524-2/TTHM(TCP)? Yes No <br /> that chillinghas begun? Wes <br /> No NA TB Received? Check Method Below Yesr-`No A <br /> V Did all bottles arrive unbroken and intact? No Was a sufficient amount of sample received? <br /> a Did ell bottle labels agree with COC? Do samples have a hold time<72 hours? a No- <br /> Was sodium thiosulfate added to CN sample(s) Was PM notified of discrepancies? Yes N <br /> until chlorine was no longer present? PM: By/Time: <br /> 250mi(A)500mi(S) 1Liter(C)40m1V0A(V) 425mi(D) Checks' Passed? — <br /> Bacti Na2S203 — — <br /> None (P)White Cap — — <br /> Cr6(P)LL cmeen LabeMue Cap NH40H(NH4)2SO4 OW Cl,pH>B P F <br /> Cr6(P) Pink Latelmlue Cap NH40H(NH4)2SO4 WW pH 9-3-9.7 P F <br /> Cr6 (P) Black L86WA31ue Cap NH40H(NH4)2SO4 7199 pH 9.0-9.5 P F <br /> —24 HOUR HOLD 7 ME* <br /> HNO3 (P)Red Cap or HCl (P)Pu pie Cap'Lt.@iue Label — — <br /> H2SO4 (P) or (AG) Yelrnw CaplLabel pH<2 P F <br /> N NaOH (P)Green Cap Cl, pH>10 P F <br /> tE NaOH+ZnAc(P) pH'9 P F <br /> a Dissolved Oxygen 300ml (g) — <br /> .O z None(AG)SOMOBI]BOB2,625,632t8321,B151,B27t7 — <br /> HCl (AG)u.Blue Label O&G,niesel,TCP — — <br /> 0 E Ascorbic, EDTA, KH2Ct(AG)Pltk Label 525 — - <br /> -�Od Na2SO3 250ml- (AG)NeOn Green Label 515 — — <br /> N r <br /> r' Na2S2031 Liter(Brown P)549 — — <br /> 0 C Na2S203(AG)Blue Late' 548,THM.524 — — <br /> m `o <br /> L Na2S203(CG)Blue Labe, 504 505,547 — <br /> U <br /> 0 Na2S203+ MCAA(CG)orange Labe' 531 pH<3 P F <br /> NH4CI(AG)PurpreLabel 557 — <br /> EDA(P) or (AG)grown Labe, DBPs — — <br /> rn HCL(CG)524-2,BTEX,Gas,MTBE,8260/624 — — <br /> E Buffer pH 4 (CG) — <br /> H3PO4(CG)Salmon Label — <br /> Ligfrt Blue Label FB — -- <br /> Ammonia Acetate-EPA 533 Purple Label FB <br /> Bottled Water — — <br /> Asbestos 1 L(P)w/Foil / LL Metals Bottle — <br /> Clear Glass 5o <br /> OTHER: — — <br /> *, Container Preservative Lot# Initials DatelTitne Preservation Check <br /> a s P pH Lot# <br /> N S P CI Lot# <br /> *Preservation check completed by lab performing analysis. ✓ Indicates Blanks Received <br /> 504 524.2 TTHM 537/533— TCP <br /> E <br /> ✓ MSIMSD Received Method: <br /> Labeled by: Labels Checked by: <br /> Scanned: c- RushlShort HT Page: Time: <br /> Page 31 of 32 <br />