ARCHIVED REPORTS_2008 - Laserfiche WebLink

Home Browse Search

Columbia Analytical Services,Inc. Sample Acceptance Check Form Client: Shaw Environm Cental&Infrastructure,Inc. Work order: P0800191 Project: Foothill Landfill,San Joaquin County/124591 (Ground Water) Sample(s)received on: 02/06/08 Date opened: 02/06/08 by: LKUKITA Nore: This form is used for all samples received by CAS. The use of this form for custody seals is strictly meant to indicate presence/absence and not as an indication of compliance or nonconformity. Thermal preservation and pH will only be evaluated either at the request of the client and/or as required by the method/SOP. Yes No N/A 1 Were sample containers properly marked with client sample ID? 0 ❑ ❑ 2 Container(s) supplied by CAS? ❑ 0 ❑ 3 Did sample containers arrive in good condition? 0 ❑ ❑ 4 Were chain-of-custody papers used and filled out? ❑ 0 ❑ 5 Did sample container labels and/or tags agree with custody papers? 0 ❑ ❑ 6 Was sample volume received,adequate for analysis? 0 ❑ ❑ 7 Are samples within specked holding times? 0 ❑ ❑ 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? 0 ❑ ❑ Cooler Temperature °C Blank Temperature 3 0C 9 Was a trip blank received? ❑ 0 ❑ Trip blank supplied by CAS: Serial# -TB 10 Were custody seals on outside of cooler/Box? ❑ 0 ❑ Location of seal(s)? Sealing Lid? ❑ ❑ 0 Were signature and date included? ❑ ❑ 0 Were seals intact? ❑ ❑ 0 Were custody seals on outside of sample container? ❑ 0 ❑ Location of seal(s)? Sealing Lid? ❑ ❑ 0 Were signature and date included? ❑ ❑ 0 Were seals intact? ❑ ❑ 0 11 Do containers have appropriate preservation,according to method/SOP or Client specified information? 0 ❑ ❑ Is there a client indication that the submitted samples are pH preserved? 0 ❑ ❑ Were VOA vials checked for presence/absence of air bubbles? 0 ❑ ❑ Does the client/method/SOP require that the analyst clneck.the sample pH and if necessary alter it? 0 ❑ ❑ 12 Tubes: Are the tubes capped and intact? ❑ ❑ 0 Do they contain moisture? ❑ ❑ 0 13 Badges: Are the badges properly capped and intact? ❑ ❑ 0 Are dual bed badges separated and individually capped and intact? ❑ ❑ 0 :;...: d usteil flA ea acc a 'E€f: :rese t crn Lr t Sa#np#i lI) + rnfat#t�Y 1LetlUtte�1 lte eeiFed: 1 1d slap pec.4P,;.:: '.:.:,./eta < Beseriptrtsn pR* 1?H IrHPresenczft�ktsent�} G`orrrmtesnLs P0800191-001.01 40ml VOA HCL <2 A P0800191-001.02 40ml VOA HCL A P0800191-001.03 40m1VOA HCL A P0800191-001.04 1000ml AG NP P0800191-001.05 1000mL Plastic NP P0800191-001.06 250mL Plastic NP P0800191-001.07 500mL Plastic HNO3 1 <2 Explain any discrepancies:(include lab sample ID numbers): No signature relinquishing sample(s)on Chain of Custody 1 Liter ambers provided by client *Required pfl:Phenols/COD/NH3fMC/TOX/NO3+NO2/TKN/T.PHOS,II2SO4(pH<2);Metals,HNO3(pH<2);CN(NaOII or NaOH/Aic Acid)(pI>12); Diss.Sulfide,Na0H(pH>l 2);T.Sulfide,NaOH/ZnAc(pHA 2) RSK-MEEPP,HCL(pH<2);RSK-CO2,(pH 5-8);Sulfur(pH>4) P0800191_Shaw Gntdronmartal R.Infix truoturo,Inc._Foothill Landfill,Saa Joaquin County_124591(Ground Water)-Page 1 of 2 02/25/08 6:17 PM