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Columbia Analytical Services,Inc. Sample Acceptance Check Form Client: Shaw Environmental&Infrastructure,Inc. Work order: P0800193 Project: Foothill Landfill,San Joaquin County/12459.1 (Leachate Module) Sample(s)received on: 02/06/08 Date opened: 02/06/08 by: LKUKITA Note: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? Ix ❑ ❑ t 2 Container(s) supplied by CAS? FX-1 ❑ ❑ 3 Did sample containers arrive in good condition? 0 ❑ ❑ 4 Were chain-of-custody papers used and filled out? ❑x ❑ ❑ 5 Did sample container labels and/or tags agree with custody papers? 0 ❑ ❑ 6 Was sample volume received adequate for analysis? M ❑ ❑ 7 Are samples within specified holding times? D ❑ ❑ 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? ❑ ❑ Cooler Temperature °C Blank Temperature 3 °C 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? ❑ ❑ IE Were signature and date included? ❑ ❑ (] Were seals intact? ❑ ❑ E Were custody seals on outside of sample container? ❑ [x ❑ Location of seal(s)? Sealing Lid? ❑ ❑ El Were signature and date included? ❑ ❑ pR Were seals intact? ❑ ❑ Qx 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? px ❑ ❑ Were VOA vials checked for presence/absence of air bubbles? 0 ❑ ❑ Does the client/method/SOP require that the analyst check the sample pH and if necessary alter it? MR ❑ ❑ 12 Tubes: Are the tubes capped and intact? ❑ ❑ ❑x Do they contain moisture? ❑ ❑ 13 Badges: Are the badges properly capped and intact? ❑ ❑ (] Are dual bed badges separated and individually capped and intact? ❑ ❑ p ;. c;:.: pliS.tmple:ID £vtrtap:ef Eiegt#4ke ecelvetl ::Ad�acfcd V{}A.I esttlspar� ecelp€/ ?ri ereatlon Besrlptlon pH" PH pHI'rescl-/AbaX. enr ) Cnaunlrluts P0800193-001.01 40m1 VOA HCL <2 A P0800193-001.02 40ml VOA HCL <2 A P0800193-001.03 40ml VOA HCL A P0800193-001.04 1000mL Plastic NP P0800193-001.06 500mL Plastic HNO3 <2 P0800193-001.07 125mL Plastic NP Explain any discrepancies:(include lab sample ID numbers): "Required pH:Phenols;COD/NH3/TOC/TOX/NO3i-NO2/TKN/T.PIiOS,H2SO4(pH<2);Metals,HNO3(pH<2);CN(Na0H or Na0H/Asc Acid)(pH>12); Diss.Sulfide,NaOH(pH>12);T.Sulfide,NaOH/ZnAC(pFD12) RSK-MEBPP,HCL(pH<2);RSK-CO2,(pH 5-8);Sulfur(pH>4) P0800193_Shaw Envi-ital'c lnfiasuncturc,lnc._Foothill Landfill,San Joaquin County_124591(Leachate Medd.)-Page 1 of 1 02/25/08 6:19 PM