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Jim%'. FOR Cjty. '
<br /> t�E oro protect name O nd oro ect number inc(,,dc the t V
<br /> { pnL"Iw� On y undLar tYxtrwine'ti r, �t lg circ,arilstancos arL�
<br /> a;)proQriate, sUL31i.};,k) I (,'t �'1 i�ES provio,d ,,c Id E ' of a err .1 )r E'ingcr
<br /> 2 !1)t,Personnel actual,y pertarrring the samp'1n;vmi pant and ` c j I ' 'ne de',i)
<br /> ,gn their names In the spaces A'ovlded Thi.;u�uafiy'(WO Z!`, 12 Jr or l T r' rC,ar1, >S 3, ° 1,11 1"5 Ire required tc ,3t
<br /> only one person, but if two employees are directly ,1volved !,Or,,,, it"I u lL f, tr s t, [it ( _,,Ip,ia _,a',;tion Check t-i.
<br /> ,Yltn the sample collection,cath are required to rocU,d t`lei, space pros u vd o id r itr '7 orocedure has bec
<br /> rarilsS F41ro,>tired Pepe'J,n�ori ..{ a z ttlu ,�gLllrerrlpnts wherea,,,
<br /> 7n,no I Lo*lfar,ler to monit-,
<br /> .3 €t is stJ`gly rec0mI`nQ7)0wta `h1 l t!-t, employeet5) petiorrry,r ry rt , ', �- t, ,t _,G .r, r50'1'1e1
<br /> sample COCC11071 also z�ompl le the Cham-cit CusIMI-1 *r. t£ c rf Irif? f,.1 a^, t
<br /> It this is dor o 3hn t ` 0$i 11 r SLct Lr7 of this forth
<br /> �8�lC1i, f S does 11oa nef"i t 1 q tiro L
<br /> {,�� t , .• ', , , �„c t �+,� U Ont.s r.. IS pfepar�a
<br /> rat j tnis a,i, Lal , � 4 a_
<br /> But if the sampler(s) turn(s) the sample(s) over t 7 enctfirr t� O ,t<LCrthe
<br /> employee who then cornpii'tes the Chairs of Custody Record Or. , se,,[on at rhrf iw e of'r,j F t ° I11� �Gu„�`ory Use
<br /> the rerordmg employee shall sign In the space provided for
<br /> the recorder In addition this transaction between sampler(s) 13 Who- sz�rvpling it, ve e"IT -rp ,nl;g Lhec.k lh3 space pro
<br /> and recorder shall be documented by the appropriate Xidda it aa, tflrc ,Galoo organic a alys,s (b),*t) rials were
<br /> signatures and the time and date In the sample custody success(utry trued ' ,rthvut tliradsparrc Samples collected for
<br /> transaction section at the t)oltom of this farm b."k cargan,(, dnnlrs- are '_.u to be free of btfbb€es
<br /> Eich and even r I i1, aquiren icnt rrt y C,, „IpOE.,oibir '0 achieve I)rare cases
<br /> y sarnpfe in,1�r3ed along with the Clealn of due #L1 t rourtdwatcr agL.i',-'r Ch. t+ *{ 'IStICS or thC, use of
<br /> Gustocly Record In the sample transport container (often a d[sCl;,ated pump ,f It 'epeated -ttten,pts at tilling
<br /> ooler) MI be recorded on the record by sty unique sample the VOA vlai%ff out nz�iobp.cu a� an4uc,assft,) obtain the
<br /> ID arid the time and date of 115 collection This Information unit r r..L`1 -,,MpI4 I noo the c-ro-,rls r 1 thst;went dr
<br /> ,rust match that on the label at the sample container(battle not erf^ck the spar^ ptctv,t,L t:# ,n s 1Ca rnar,c t"'.'space N+tri
<br /> Cr,sb 'tube utc) The Cnain-af Custody R-scurd therefore n ”,.,I,,t ar,ri '1t. r t t"t'l 4 t , rY ncc 'I 'G riote5 ana
<br /> an exact replebevt t3=a7I at the sampe5 that -r:ornpanyr , l' h'}t{3;+n 15 "r �[„t(31i1 o
<br /> ,9 1,” ' f the
<br /> „
<br /> it 1n trle transport conle,n�r v � i l , tit s iii turn; y r
<br /> 'E, I,eritua in Inc
<br /> 5 Nt-xi to Sample 10,a sample ontainer descriiptti)n oodt, must JU`E 111 '�C(30-1 r)C'UL L t fl'I U1 u Ntf 1 Cr tli.rills shoufv
<br /> D- r*Iterad Ira the space orov derz The Sample c??tarn t u yr ,' OL by the rec elv'nc� 'fell pr rsonnat at the time ©t
<br /> L'� ;r?OtIUn 40E1t35 a E' cn tFlt (71Lr rfiytll [a Ir +' , „ t „' t( w,r t ` f icr of k/OA
<br /> i , n t' ', ' 11 't.1 u, rile -story for all
<br /> a Next to the sample container desi ription cvae: 4 sampip near,3 r 41 ' the s j rrfsle
<br /> description code must tae ent,ted In 011 ter? CF'r,r,iL1,3 1 Tt.'
<br /> Samllic 0escr,ptlon Codes are an the upr• .r 'rgt}t of ov,
<br /> term Use the code that best describes the alpd+a 5ar'1plec, 1, t ho r,Io i, >� _t nl, rrvinr.t 'i 11 ow flt,la perscnnet !a
<br /> r17c,st ale self-explanatory Item H far MankTSpike appl#e5 stauofa#e nr1 ant ,i tflr I.t a t�lh; is orator, tar trio
<br /> cjFi tera#ly to water samplus only and will lot?used v,hen sue
<br /> matting a field blank, a trip blank(commonly referred to as
<br /> a travel blank) a occaninq blank(often referred to as a rinseate 115 Les^r be the mcl)orj ni ti11 n n,,nl n tnr Soo. l rav,dud a,
<br /> bido4) or a sp;ko sampie This ro,ie ambles rhe;ouoratoiy Inn ln3 ,of left ' "„+ Its '-, ,' r (- L t, dnd the type
<br /> I'] �,."lilrtr th1., ,?,II1pt( rte, I,alr k-sfllke , =711�I 'ill: ,,t r ''i N clalf, etc,)
<br /> 7 ltncier IVwnbc, of Containers And Ptv,*P,Vat,o;, the nurrlbQj- lta 7 � r,w illi CJ'i'1' tr � r '; lt':,j',of Custod
<br /> £}t 5arrtpiE containers will t38 entered ,iCG€lfdlnp io the p,ra er }ifGctrd ir)r,Its eiil PIC '1-CID'_ er Ielly raeG rite It by noting
<br /> va*#ve added to the D0tt1es in the field or by the tahoratery r}(5`irlgtlrst7rrlCr out' ,na,h ilgs i, neca:.sary mark the cooler
<br /> beto,e use to the fiefa For instance a 3 voll be entered yta ',c t w th , n+rnt3f r e
<br /> in the Unpreserved bo< it three volatile organic analysis
<br /> ,VQAf vfals are submitted with this record for EPA Method i, i, C ,�„r ai . �' ,” zc, I- It c,1 Ira rfrw being fill^,
<br /> 601 analysis For a brass tube with soil a i In trill box will , , ` 'orni,tler their ser,r,1
<br /> sufficenuniber5 should be rioted 1111,le space prowdea This allow
<br /> P aper dreumentation Uf,'Iw rl lar-pies a,e traveling together
<br /> 8 Check the ` Feld Filtered' box it the sample is field filtered Irl Me some 7ransprlrt -Ontainpr ''1st, is ntten an Importarl
<br /> The absence of a c ipO meads no flpld f€tration has oeeri r 'r,, r, rialoc ( i r+�
<br /> 't-, L1 ML 0 t this prococlun-
<br /> + rr� jr-)per do, '-lrt,1 or n '
<br /> t d "6rt GplltdthEr
<br /> ,
<br /> ` ^,ter r1t r at, ES' (, ( r. Ir,' G 7 tU �G' torr of ted.. (.no t avai r c!,k '. �C , n ^r,^_+Set C I
<br /> l b, 'tit t SG'rlJlt'S -,ash ! t,11,91rl Us Cu�tOr
<br /> a_ tr�tary and check 0111h , sample{si cn
<br /> 1k �'t}r'iC '� ilia Sdrr'rjlC GL 'Udy 1,, Sv=D7 m wrlior trellnquibi,
<br /> 10 Entt;r It turnaround-tinie(IAT) code for each b atni,i, on the r,�'rl't G,t�C sign,Iur-,s L l Ar,y' VO t!1}35af1}r}!p5 cold tnelr
<br /> 4zrr,� TAT Codes are n the l pper-rlah,comet u Ifie ioii„ a r� f C tJJ� 7` i^,
<br /> 1L hands
<br /> amon,j
<br /> rt1E Snr„pferfrecorclGr nrilst aa,C law ' 11 r nC) E' l r ni• I,,it, * ' = r the�,,r,dturr;$of the
<br /> U,T for the analytical method requested an L7 al-o-jubt, Ut I " t 'f>vt, cid and ih, le ur'd (}r,tr, In' 'r7i}ployee W11,
<br /> tirro that this turnaround is€eaybfe with 'ht la urs(tory or a c' a w,I,),It- r,r,r ' -C ` '-II Sit?,1 in the I)ispat
<br /> at what surcharge ened By sertic- an f n,,t,- 'nt` jws cirtrj tirne til„t the sample,
<br /> ti }ht* sasnpterlrPcprder also rna=;t ascertain t! >r niaxlniuare shipped
<br /> ,n 1
<br /> t'oit:,r9 `i'nt 'GI 'tlu ',�r11*ile dtpendin oil it r,,nq+,S,, 1, ,
<br /> Pending 1� BeFie IarE` ,> ,t (A a, , Ir, �„Ir,i 3+e r2Suli
<br /> yl1Lc1 t' and as-url,rly tnat tt,e :�r'3€ pie i, I✓rE rf-''t y..a .!r,tl It 10 41) C V' ,F' ,, Lrr,, i lf' 'l••'4,yn 4V!t7 S tri receive tftd
<br /> atoroa by rhe FPA Method pTosocol Very #mpor,ant ata vnecK aft too Ut41re ul `rtl cr, !,a cr site avgrks, and Wore
<br /> rcrnet ibur that the max+mvm holding iir*1E r^fr s to jr I nt h, tri, r r riot ,1r ',rt e J bait iiia I)e o rkr,,
<br /> bozween sample collection anrt analysis an7 not t le t m
<br /> r�ettir.ert w,Jmple (eceipt at the )aboratory ald r, a'ysl”' 20 Tho gra 'A'%'and PIItK CO,'i 5 L Ii'c CnaE s of Custody Recor�
<br /> Thelefore, enter the sample holding time ,n tno space ore cote sent wlttl the tarnpfet to the 'Qf Ci"t
<br /> prov,dad ana 5riip the sample(s)to the laboratory as soon as _ ry
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