2008-12-17_HYDROLOGY - M2004078 (4)

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• Sample Condition UE _ Al 1000 Riverbend. elvd.. Suite F 1 70087 04 1 St. Rose, LA Courier: ? Pace Courier ? Hackbarthl Fed X ? UPS ? DHL ? USPS ? Customer ? Other Custody Seal on Cooler/Box Present: [see COC] Custody Seals Intact: /Yes ?No • Therometer er'fherm Fisher IR 1 Type of lee: e Blue None Samples on ice: [see COC) • Used: ? Therm Fisher IR 2 • Date and Inl?#p?rtyyon eet?NyT?rjy> Cooler Temperature: [see COC] Temp should be above freezing to 6°C contents: JJ ((??((,,?( 7?5FFi?? Temp must be measured from Temperature blank when present Comments: Temperature Blank Present"? Yes ?No ON/A 1 Chain of Custody Present: Yes ?No ?N!A 2 Chain of Custody Complete: es ?No ?N/A 3 Chain of Custody Relinquished: ;3?es ?No ?N/A 4 Sampler Name & Signature on COC: es ?No ?N/A 5 Samples Arrived within Hold Time: vas ?No ?N/A 6 Sufficient Volume: ;1Yes ?No ?N/A 7 Correct Containers Used: eyes ?No ?N/A 8 Filtered vol. Rec. for Diss. tests ?Yes ?No iN/A g Sample Labels match COC: es ?No ?N/A 10 All containers received within manafacture's precautionary and/or expiration dates. /Yes ?No ?N/A 11 All containers needing preservation have been checked (except VOA, coliform, & O&G). ?Yes ?No Vi/A 12 All containers preservation checked found to be in compliance with EPA recommendation. ?Yes ?No I.JN/A d N/A No, was preserative added? ?Yes ?No 13 If added record lot no.: HN03 H2SO4 Samples checked for dechlorination: ?Yes ?No N/A 14 Headspace in VOA Vials ( >6mm): ?Yes ?No CAIN/A 14 Trip Blank Present: ?Yes ?No Qi t A 16 Trip Blank Custody Seals Present ?Yes ?No N/A . 17 Pace Trip Blank Lot # (if purchased): N/A 18 Client Notification/ Resolution: Person Contacted: Datefrime: Comments/ Resolution: A Al 1 rnn krav A 'XAr1rf Jnn7 _ rnnA