|
Columbia Analytical Services,Inc.
<br /> Sample Acceptance Check Form
<br /> Client: Shaw Environmental&Infrastructure,Inc. Work order: P0802431
<br /> Project: Foothill Landfill,San Joaquin County/124591 (Ground Water)
<br /> Sample(s)received on: 07/31/08 Date opened: 07/31/08 by: MZAMORA
<br /> Nate: This form is used for all samples received by CAS. The use of this form for custody seals is strictly meant to indicate presencelabsence 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? 0 ❑ [❑
<br /> 2 Container(s)supplied by CAS? (] ❑ ❑
<br /> 3 Did sample containers arrive in good condition? ® ❑ ❑
<br /> 4 Were chain-of-custody papers used and filled out? px ❑ ❑
<br /> 5 Did sample container labels and/or tags agree with custody papers? ® ❑ ❑
<br /> 6 Was sample volume received adequate for analysis? px ❑ ❑
<br /> 7 Are samples within specified holding times? xQ ❑ ❑
<br /> 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? Fx ❑ ❑
<br /> Cooler Temperature °C Blank Temperature 4 °C
<br /> 9 Was a trip blank received? ❑ ® ❑
<br /> Trip blank supplied by CAS: Serial# -TB
<br /> 10 Were custody seals on outside of cooler/Box? ❑ ® ❑
<br /> Location of seal(s)? Sealing Lid? ❑ ❑ 0
<br /> Were signature and date included? ❑ ❑ nx
<br /> Were seals intact? ❑ ❑
<br /> Were custody seals on outside of sample container? ❑ px ❑
<br /> Location of seal(s)? Sealing Lid? ❑ ❑
<br /> Were signature and date included? ❑ ❑ px
<br /> Were seals intact? ❑ ❑ 1
<br /> 11 Do containers have appropriate preservation,according to method/SOP or Client specified information? px ❑ ❑
<br /> Is there a client indication that the submitted samples are pH preserved? M ❑ ❑
<br /> Were VOA vials checked for presence/absence of air bubbles? ® ❑
<br /> Does the client/method/SOP require that the analyst check the sample pH and if necessary alter it? Qx ❑ ❑
<br /> 12 Tubes: Are the tubes capped and intact? ❑ ❑ 171
<br /> Do they contain moisture? ❑ ❑ IF]
<br /> 13 Badges: Are the badges properly capped and intact? ❑ ❑ Qx
<br /> Are dual bed badges separated and individually capped and intact? ❑ ❑
<br /> :K4£:'':: •-Q5:?r...f"t'::;Q::h:6yi{.rt{w.r...:..x:E.mi...::.:...n...::::n... Y.Y..,. ...I..v. r .,...... l..t...n ,
<br /> .... ....,.!;... :.vw: :.. ...... ........ .: .......:. ..v.. .r...::.....:::... Si.v.:}r 3.J.::{y.,..t....t.{..r.......,.:{:4.::.:.YvS.r -},yv4.rx.::•i••{•. ..}..}•.::::::.v:.vn
<br /> ...?..:£.,.
<br /> :::.:}t
<br /> ,•,}•::• • .;C?v},. ..{...... ...1•.. :.ry, .Y fi.i:':{'r.'+; r vy::
<br /> -:.4. .:.:... .:. .::..:....^ ..::•£'. •r,Y„ ;r.,,t4.,•:.. ........ ..:. ........ ... .;`.} v,• :.....,. ,-:v::..:w. �t;:: •:£4`$., ?i•i.�:;4Y::x!r{.}•-,.};'�2i •`:".,L 9.t.Y•.:Y-'NBT:
<br /> •kt :•Y, ' }p, •:!yr.:S :}v.`,:F.};.},; 2•:. ,,{�,'^y.'!Q,Yi,•;..':'t�:<�'::r:`.:: }v.$•-: .,�`f•Cv{4�{++:.:.N.,
<br /> ..�Oi"x �Y �/ •:?.{rN.. :Y+.)'!Y: £Lv'•' , .r:'t,.'r�'-f:{�-.S'. �t r 'i..
<br /> 4.}
<br /> 'hn.'iYf r..n•n, '.Y.�: £':+-:{{ . i:4.{' �.,,.#.4.. :g�:. ,'vi}tn4,.. ...{.::£:{<t:£.::•};. �f r}nv/,n.:i,:b:�v�.'i"ri,i:::/.. .�s'+r.'•::'}f.....:::£:..r..-.�i. Y4 }•'}"v. .1.F.•Ffry: ,�t - ...�S:TF:. •L:'. $y
<br /> i^ ?iv{.. vrv: .4......:::.v::nv:.::v::.:...::::v... :.......:.:..+�'+R'l.}.n.v....:;J�;9:::}:!:...n..H .:... a•:'�}nn+:�. ,j;. :•:.vY.•+: £:{,.
<br /> ..n...... n........ .».. .:. ...:... 2Y :{. •:m ... i v v v :::,:8 t .•£v..ht.:•r•'t-:,?
<br /> •,� }r 't4,,..• Irv•+. .L.
<br /> ,
<br /> •......r:.}..::::::::::.......................'.x. .;.<:S./.::.fi:#!,::*.::.... : .... ..:.�::::::::...,.....:. ... -:.....,-:..,.::l:;:a..}.:.:.:::...:.w.. ...�•....,.:.....ru, o...i,�4''.s''•i'` ..4.?'..:.{-• �:
<br /> ....:......... ....................::...:..:...........v....r::.v::.�. h,,.{.-:.,n:::.,:.•.,w..•:::;%}:.w:rd'.lI:.SQ+ ;...,�.,. .:};r,.;v:::k'`{+:�:.... r
<br /> P0802431-001.01 40m1 VOA HCL <2 A
<br /> P0802431-001.02 40ml VOA HCL A
<br /> P0802431-001.03 40mhVOA HCL A
<br /> P0802431-001.04 1000mL Plastic NP
<br /> `0802431-002.01
<br /> 0802431-001.05 250mL Plastic NP
<br /> P0802431-001.06 500ml-Plastic HNO3 <2
<br /> 802 1- 02. 4omhVOA HCL <2 A
<br /> Explain any discrepancies:(include lab sample ID numbers):
<br /> 'Required p11 Phenols/CODINILi/TOC/rOX/NO3+NO2/rKN(r.PHOS,HZSO4(pHQ):Metals,HNO3(pH<2);CN(NaOH or NaOH/Asc Acid)(pli>12);
<br /> Dies.Sulfide,NaOH(pH>12);T.Sulfide,Ns0H/ZnAC(pH>12) RSK-MEEPP,HCL(pHQ);RSK-CO2,(pH 5-8);Sulfur(pH>4)
<br /> Pogo2431_Shaw Ea onnrentaI @.Infrastructure,Inc._Foothill Landfill,San Joaquin County—124591(Ground Water)-Page 1 of 2 08/13/08 4:52 PM
<br />
|