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1 <br /> tie" euro-lins I INTERNAL CHAIN OF CUSTODY RECORD <br /> Caton Anl,ylicftl <br /> EEA Felder Numher; SAMPLE TEMP RECEIVED: <br /> `r/t IV NI Note:If samples aro out of temperature range,let the AVMknow.ASMI will deferral ether to proceed with enalyslr or not. <br /> SAMPLES REC'D DAY OF COLLECTION? Yes/ N❑ <br /> IR Gun ID= C930 P' (Observation= ),3 °C) (Corr.Factor)--2--°C) (Final=/ ° °C) <br /> TYPE OF ICE: Real V Synthetic No Ice CONDITION OF ICE: Frozen 4 Partially Frozen Thawed N/A <br /> METHOD OF SHIPMENT: Pick-Up / Walk-Ined / UPS 1 DHL / Area Fast / Top Line / Other: <br /> Compliance Acceptance Criteria: <br /> 1) Chemistry: >0,s 8°C,not frozen(NELAP) (If received after 24 hrs of sample collection) <br /> 2) Microbiology, Distribution: <10°C, not frozen (can be z10°C If received on Ice the same day as sample collection,within 8 hours) <br /> 3) Microbiology,Surface Water:<10°C (if received after 2 hours of sample collection) <br /> I(out el temperature range for hath Chemistry and Mlarohlolopy samples <br /> and temperature does nutounllrm,Than measure the temperature of 1_10been:ulon__•nl(Oorr.Faolor •0indr° <br /> 1(F = '01 2-(Obseellon-_•01 (Oorr-Faola- <br /> r •ol (Final= Of <br /> earth quadrant and record each temperature of the quadrants <br /> 3=(nhsereellon-__'01 (Oarr.Faolor •CI(Final-. •0l 4-00aeNallon=_•01 lawc.Faalor_'01 (Find- •01 <br /> 4 Dioxin (1613 or 2,3,7,8 TCDD):must he between 0-4°C,not frozen (If received after 24 hrs of sample collection) <br /> 5) pH Check.Manufacturer: Lot Number: - pH strip type: 0-14 or Expiration Date Results:' <br /> 0) Chlorine check. Manufacturer:Sansafe. Lot No.: Expiration Date: Results <br /> 7) VOA Headspace: No Samples with Headspace: Samples with Headspace (see below): <br /> Headspace Documentation(use additional VOC Internal COFC for additional bottles) <br /> Exernptlrom heedspace noncerns; Methods 616.4,HAA(6251,552),505,SPME,OCH,632LCMS,666,535,Anatoxin,LCMS methods using 411 ml vials, International clients; <br /> None/<5 Nona/<5 None/<6 None/<6 <br /> eemp ID Bottle# mm >Bmm Bump ID Bailie U mm >6mm Bemp ID Bottle U mm >6mm Sturm ID Bottle# mm >5mm <br /> - <br /> 13 ' <br /> d <br /> CO Note Sample ID !oh have a dissimilar headspaoe (I.e.potential sampling errors): ' <br /> 03 GNATURE PRINT NAME OOMPANV/TITkE ❑A TIME <br /> 2. BEDEWED Mr: •/ / 1 /� J�,E I <br /> �CIj2`/ i QSVc4C'f�,`-, Euroiins Eaton Anelylloel (� /5//F) I 1 y�)9 <br /> 03 t J 1(/ <br /> N <br /> rn <br /> CD . <br /> rn <br /> Page of <br />