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Columbia Analytical Services,Inc. <br /> Sample Acceptance Check Form <br /> Client: Shaw Environmental&Infrastructure,Inc. Work order: P0900887 <br /> Project: Foothill Landfill, San Joaquin County/124591 (Ground Water) <br /> Sample(s)received on: 04/02/08 Date opened: 04/02/08 by: SSTAPLES <br /> Note: This form is used for all samples received by CAS. The use ofthis form for custody seals is strictly meant to indicate presence/absence and not as an indication of <br /> 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. <br /> Yes No N/A <br /> 1 Were sample containers properly marked with client sample ID? O ❑ ❑ <br /> 2 Container(s) supplied by CAS? ❑ 0 <br /> 3 Did sample containers arrive in good condition? 0 ❑ ❑ <br /> 4 Were chain-of-custody papers used and filled out? 0 ❑ ❑ <br /> 5 Did sample container labels and/or tags agree with custody papers? 0 ❑ ❑ <br /> 6 Was sample volume received adequate for analysis? 0 ❑ ❑ <br /> 7 Are samples within specified holding times? 0 ❑ ❑ <br /> 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? ❑ ❑ <br /> Cooler Temperature °C Blank Temperature 3 °C <br /> 9 Was a trip blank received? 0 ❑ ❑ <br /> Trip blank supplied by CAS: Serial# 032$ -TB 1 <br /> 10 Were custody seals on outside of cooler/Box? ❑ 0 ❑ <br /> Location of seal(s)? Sealing Lid? ❑ ❑ 0 <br /> Were signature and date included? ❑ ❑ 0 <br /> Were seals intact? ❑ ❑ 0 <br /> Were custody seals on outside of sample container? ❑ 0 ❑ <br /> Location of seal(s)? Sealing Lid? ❑ ❑ 0 <br /> Were signature and(late included? ❑ ❑ 0 <br /> Were seals intact? ❑ ❑ 0 <br /> I 1 Do containers have appropriate preservation,according to method/SOP or Client specified information? 0 ❑ ❑ <br /> Is there a client indication that the submitted samples are pH preserved? 0 ❑ ❑ <br /> Were VOA vials checked for presence/absence of air bubbles? 0 ❑ ❑ <br /> Does the client/method/SOP require that the analyst check the sample pH and if necessary alter it? 0 ❑ ❑ <br /> 12 Tubes: Are the tubes capped and intact? ❑ ❑ 0 <br /> Do they contain moisture? ❑ ❑ 0 <br /> 13 Badges: Are the badges properly capped and intact? ❑ ❑ Ox <br /> Are dual bed badges separated and individually capped and intact? ❑ ❑ 0 <br /> s(tr Snmple 1p iGh>s►1ueRgysrd... eetvei ( c�jq�fecl ' A dTeudslrateeeip�f:P#rse(latraEu <br /> 1JGS£K1111rtfrr pH :; pIi l? Presellcr�Attsenwj Cari�mr'nts <br /> P0800887-001.01 40m1 VOA HCL <2 A <br /> P0800887-001.02 40ml VOA HCL A <br /> P0800887-001.03 40ml VOA HCL A <br /> P0800887-001.04 500mL Plastic NP <br /> P0800887-001.0$ 1500niL Plastic NP <br /> P0800887-001.06 500ml-Plastic HNO3 <2 <br /> P0800887-001.07 I I000ml AG NP <br /> Explain any discrepancies:(include lab sample ID numbers): <br /> 1 500ml plastic provided for TDS analysis. I liter ambers received for 8141 analysis is client supplied. <br /> *Required pH:Phenols/COD/NH3/TOC/TOX/NO3 i-NO2/T'KN/T.PHOS,H2SO4(pH<2),,Metals,HNO3(pH<2);CN(NaOH or NaOH/Asc Acid)(pH>I2); <br /> Diss.Sulfide,NaOH(pH>t 2);T.Sulfide,NnOWZnAC(pH>12) RSK-MEEPP,HCL(pH<2);RSK-CO2,(pH 5-8);Sulfur(pH>4) <br /> P0800997 Shaw 8nvimmental&Infrastrucluiv,Inc._Poothill Landfill,San Joaglun County_124591(Ground Water)-Page 1 of 2 04/04/08 6:41 PM <br />