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Mr. Larry Lipp • • KIMCO O1-02-008-CA <br /> October 17, 2002 <br /> Page 4 of 2 <br /> Number and volume of sample(s) collected. <br /> Description of sampling point(s). <br /> Description of measuring reference point(s). <br /> Date and time of collection or measurement. <br /> Sample identification number(S). <br /> Sample preservative (if any). <br /> Sample distribution (e.g., laboratory). <br /> Field observations/comments. <br /> Field measurement data (pH, etc.). <br /> D.1.4 Chain-of-Custody Record <br /> A chain-of-custody record will be filled out for and will accompany every sample and every <br /> shipment of samples to the analytical laboratories in order to establish the documentation <br /> necessary to trace sample possession from the time of collection. The record will contain <br /> the following information: <br /> Station of sample number or sample I.D. <br /> Signature of collector, sampler, or recorder. <br /> Date and time of collection. <br /> Place of collection. <br /> Sample type. <br /> Signatures of persons involved in the chain of possession. <br /> Inclusive dates of possession. <br /> The laboratory portion of the form should be completed by laboratory personnel and will <br /> contain the following information: <br /> Name of person receiving the sample. <br /> Laboratory sample number. <br /> Date and time of sample receipt. <br /> Analyses requested. <br /> Sample condition and temperature. <br /> D.1.5 Sample Transfer and Shipment <br /> Samples will always be accompanied by a chain-of-custody record. When transferring <br /> samples, the individuals relinquishing and receiving the samples will sign, date, and note <br /> the time on the chain-of-custody record. Samples will be packaged properly for shipment <br /> and dispatched to the appropriate laboratory for analysis. The chain-of-custody record will <br /> accompany each shipment. The method of shipment, courier name(s), and other pertinent <br /> information will be entered in the chain-of-custody record. <br /> D.2 Laboratory Custody Procedures <br /> A designated sample custodian will accept custody of the shipped samples and verify that <br /> the information on the sample label matches that on the chain-of-custody record. <br /> Information regarding method of delivery and sample conditions will also be checked on the <br /> chain-of-custody record. The custodian will then enter the appropriate data into the <br /> laboratory sample tracking system. The laboratory custodian may use the sample number <br /> on the sample label or may assign a unique laboratory number to each sample. The <br /> custodian will then transfer the sample to the proper analyst or store the sample in the <br /> SUBSURFACE INVESTIGATION RESULTS REPORT <br />