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Section 11 <br /> ONSITE Environmental Laboratories Inc Revision 0 <br /> ' Quality Assurance Plan February 15, 1996 <br /> Page 4 of 4 <br /> ' Figure 3 An Example of An Out of Control Event Form <br /> ' DWSITAF OUT OF CONTROL EVENT FORM <br /> ENVIRONMENTAL <br /> LABORATORIES,INC <br /> {late Reco ize I Samples Affected I <br /> ' <br /> Data Occured <br /> Recognized 8 <br /> Method <br /> Type of Etent <br /> ' _Calibration Corr Coefhclern<0 995 -Repeat Calibration <br /> Blank n MDL Made New Standards <br /> Dupl;tate RPD Does Not Meet Criteria Reran Analysis <br /> LCS Does Not Meet Criteria Date <br /> _MSIMSD Recovery Does Not Meet Criteria Reextracted <br /> MS/MSD RPD Does Not Meet Cntena Date <br /> ` �BS,BSD Recovery Does Not Meet Cntena Cleaned System <br /> BS,BSO RPD Does Not Meet CntenaNotified <br /> -_Surrogate Recovery Does Not Meet Criteria Other(Please Explain) <br /> 1 Calculation Error <br /> Holding Times Missed <br /> Other(Please Explain) <br /> -Ongtnal Results Reported <br /> Rerun Results Reported <br /> rReturn to Control(Please Explain) _Documentation Only(Please Explain) <br /> _Corrective Actions Not Successful--DATA IS TO BE FLAGGED <br /> I 1 <br /> Anal st Date <br /> Isupervisor IDate <br /> Word 6 0 IoelsecI I da <br />