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EA
<br />3.
<br />4.
<br />a
<br />miffing a field blank, a trip blank (commonly referred to as
<br />a travel.blank), a -cleaning blank (often referred to as a rinseate
<br />blank), or a spike sample. This cafe enables the laboratory
<br />to exclude this sample as a matrix -spike candidate.
<br />Cinder "Number of Containers And Preservation; the number
<br />of sample containers will be" entered: according to the preser-
<br />vative added to the bottles in the field oniby the laboratory
<br />before ase in the field. For instance, a "3" will be entered
<br />in the "Unpreserved" box if three volatile organic analIs
<br />(VOA) vials are submitted with this record for P? IVf tKod
<br />601 analysis. For a brass tube with soil, a "1" in this box will
<br />suffice.
<br />8. Check the "Field Filtered" box if the sample is field filtered.
<br />The absence of a check means no field filtration has been
<br />performed.
<br />9. Enter the requested EPA Methodto be performed by the
<br />laboratory and check off the sampie(s) on which this method
<br />is to be performed.
<br />10. Enter a turnaround -time (TAT) code for each sample on the
<br />form. "TAT Codes" are in the upper -right corner of the form.
<br />The sampledrecorder must ascertain standard turnaround
<br />time for the analytical method requested and also must con-
<br />firm that this turnaround is feasible with the laboratory and
<br />at what surcharge.
<br />11. The sampler/recorder also must ascertain !the maxtrhurn
<br />-- holding time. for the.sample depending on the analysisle
<br />quested and assuming that the sample ,is preserve,! and
<br />stored by the EPA Method protocol. Very important:
<br />remember that the maximum holding time refers to the time
<br />between sample collection and analysii and not the time
<br />between sample receipt at the laboratory and analysis!
<br />Wherefore, enter the sample holding time in the space
<br />provided and ship the sample(s) to the la tory as scion as
<br />15. Describe the method of shipment in the space provided at
<br />the fowler left. Provide the name of the courier and the type=s.
<br />of service requested (ie; next day air', tiel'ivery date, e#c.)t
<br />1&. Describe the container used to transport the Chain -of -Custody
<br />Record and its samples. If a cooler, briefly describe it by noting
<br />distinguishing outer markings. If necessary, mark the cooler
<br />yourself with a number, etc.
<br />17. If Chain -of -Custody Records other than the one being filled,
<br />out are to be included in the transport coritaine'r, their serial'
<br />numbers should be noted in the space provided. This:alkwiarp,,,
<br />proper documentation of which samplesare travelx�g'together
<br />in the same transport container. This, is often an iimp€sriant
<br />regulatory QA/QC requirement. In addition, :this procedure
<br />allows proper documentation of use in a transport container '
<br />of just one travel blank to accompany more than one set of
<br />volatile samples, each set withits own Chain -of -Custody
<br />Record. _
<br />18. Complete the sample custody tra - A n section (relinquish-
<br />ed/received signatures, etc.). Anytime the samples and their ;
<br />Chain -of -Custody Record(s�= change hands . among. ; "-
<br />employees, this is to be-recorded:using the signatures of thy;
<br />people involved. and the .time and Me. The employee who
<br />actually ships the transport.contairtarshell sign in the "Dfspat
<br />ched By" section and note the date;and time that the samples
<br />are shipped. ;
<br />.19. Be sure to specify to whom and where the sample result'
<br />are to go. Give the name of the. person who is to receive the
<br />data, check off the office in which he or she works, and note .
<br />whether or not preliminary verbals are, requested. ,
<br />20. The yellow and pink copies of the Chatn-of-Custody Record h
<br />are to be sent with the sarnph4,.to the laboratory.
<br />INSTRUCTIONS= -FOR COMPLETION
<br />-OF CHAIN -OF -CUSTODY ORD
<br />Record project name and project niimbe► (include the
<br />possible. Only under extrerr§el mitigatingclrcumswcss are
<br />appropriate subtask) in the spaces provided.,
<br />the samples to be held by f'seld peraori j@! .pve�iiht or lkrn�r '
<br />(The laboratory should be notified tfthe,d )
<br />The personnel actually performing4he sampling will print and
<br />be
<br />sign their names in the spaces p. This usually in
<br />12. Under almost all c., curnstances, samples are required to E�
<br />only one person, but if two emp yees are directly involved
<br />stored at 4°C from the fime of sample collegtfod. Check the ,
<br />with the sample collection,. both are required `to record their
<br />space provided to indicate that this procedure hasp b Tenn
<br />names.
<br />followed. Depending on specific job requirements, wherelh-
<br />a thermometer is used !issue a transport container to monitor
<br />It is stongly recommended that them l" s) performing
<br />the sample collection also complete the hero -of -Custody
<br />the sample storage ter peralure, the sampling rsonnel will -
<br />record the temperature in the "Notes". sectio of this forr#r �
<br />Record. If this is done, the sample(s) doses not need to sign
<br />at the time that the sampfe�tra, ' rt container is prepared
<br />as "Recorder" in the space provided; this will be assumed
<br />for shipment. Laboratory person will also record the
<br />But if the sampler(s) turn(sy the sample(s) over to another
<br />temperature in the "Notes" section of the "Laboratory Use 1
<br />employee who'then completes the Chair--d-Custody Record,
<br />Only" section at the time of receipt. .
<br />the recording employee shall sign in the space provided for
<br />=.
<br />the recorder. In addition, this transaction between sampler(s)
<br />la When sampling for volatile organics, deck the spa69 ,pro
<br />and recorder shall be documented by the appropriate
<br />vided if all three volatile organic analysis (VOA) vial wer"
<br />signatures and the time and date in the sample custody
<br />successfully filled without headspace.; Samples collected for;,, ,
<br />transaction section at the bottom of this fora;. n t-
<br />volatile organic analysis are required to be .free. of -bubbles.
<br />This requirement may belmpossible to acNeve:in rare cases .
<br />Each and every sample included along with the Chairs -of-
<br />due to groundwater aquifer--characteristics-or tie use of,
<br />Custody Record in the sample transport container (afters a-
<br />dedicated pump installations..If'repeated attempts at. filling'
<br />cooler) will be recordedph the record by its unique sample
<br />the VOA vial without headspace are unsuccesssful, a irirft
<br />ID and the time and date of its collectio . This information
<br />best possible sample under the conditions. in this event, d.o.'.
<br />must match that on the label of the sample container (bottle,
<br />not check the space provided, insteac^l,'mark the spaIcewitfy i .,
<br />brass tube, etc). The Chain -of -Custody Record, therefore,
<br />an asterisk and document the problem in the field notes and'
<br />bears ars exact representation of the pies that accompany
<br />in the "Notes/Miscellaneous" set -fort 'at the..bottorrt of the
<br />it in the transport container. a. .,,
<br />form. If field personnel receive V0A blanks from the lab wit)1a",
<br />headspace (bubble[s]), this must be documented in tt
<br />Nett to Sample ID, a sample -container description code must
<br />"NoteslMiscellaneous '4ection also. All VOA blanks sfsoufd 4
<br />be entered in the space provided,-, the " ainple, Container
<br />im
<br />be checked by the receiving field personnel at the -time of 07"',
<br />Description Codes" are on the upper right, of the form,°
<br />_ sample transport container receipt. The presence of VOA_ =-.
<br />Next to the sample container descn e, a Sample :
<br />P
<br />headspace will of course be noted by .the latwratory for alk
<br />_VOA sample(s) at the time of sample recefptin4he'-liampte�
<br />description code must be entered in thaspace provided. The
<br />condition upon receipt" section.:
<br />"Sample Description Codes" are on flee iipper right of ;the
<br />form. Use the code that best describes`the media sampled..
<br />14. The "Notes" section is provided to allow field personnel to
<br />Most are self-explanatory. Item H for "Blank/Spike" ap ., "
<br />elaborate on any of the instructions to the laboratory for sic
<br />generally to water samples only and will be used when st'b-
<br />samples submitted:
<br />miffing a field blank, a trip blank (commonly referred to as
<br />a travel.blank), a -cleaning blank (often referred to as a rinseate
<br />blank), or a spike sample. This cafe enables the laboratory
<br />to exclude this sample as a matrix -spike candidate.
<br />Cinder "Number of Containers And Preservation; the number
<br />of sample containers will be" entered: according to the preser-
<br />vative added to the bottles in the field oniby the laboratory
<br />before ase in the field. For instance, a "3" will be entered
<br />in the "Unpreserved" box if three volatile organic analIs
<br />(VOA) vials are submitted with this record for P? IVf tKod
<br />601 analysis. For a brass tube with soil, a "1" in this box will
<br />suffice.
<br />8. Check the "Field Filtered" box if the sample is field filtered.
<br />The absence of a check means no field filtration has been
<br />performed.
<br />9. Enter the requested EPA Methodto be performed by the
<br />laboratory and check off the sampie(s) on which this method
<br />is to be performed.
<br />10. Enter a turnaround -time (TAT) code for each sample on the
<br />form. "TAT Codes" are in the upper -right corner of the form.
<br />The sampledrecorder must ascertain standard turnaround
<br />time for the analytical method requested and also must con-
<br />firm that this turnaround is feasible with the laboratory and
<br />at what surcharge.
<br />11. The sampler/recorder also must ascertain !the maxtrhurn
<br />-- holding time. for the.sample depending on the analysisle
<br />quested and assuming that the sample ,is preserve,! and
<br />stored by the EPA Method protocol. Very important:
<br />remember that the maximum holding time refers to the time
<br />between sample collection and analysii and not the time
<br />between sample receipt at the laboratory and analysis!
<br />Wherefore, enter the sample holding time in the space
<br />provided and ship the sample(s) to the la tory as scion as
<br />15. Describe the method of shipment in the space provided at
<br />the fowler left. Provide the name of the courier and the type=s.
<br />of service requested (ie; next day air', tiel'ivery date, e#c.)t
<br />1&. Describe the container used to transport the Chain -of -Custody
<br />Record and its samples. If a cooler, briefly describe it by noting
<br />distinguishing outer markings. If necessary, mark the cooler
<br />yourself with a number, etc.
<br />17. If Chain -of -Custody Records other than the one being filled,
<br />out are to be included in the transport coritaine'r, their serial'
<br />numbers should be noted in the space provided. This:alkwiarp,,,
<br />proper documentation of which samplesare travelx�g'together
<br />in the same transport container. This, is often an iimp€sriant
<br />regulatory QA/QC requirement. In addition, :this procedure
<br />allows proper documentation of use in a transport container '
<br />of just one travel blank to accompany more than one set of
<br />volatile samples, each set withits own Chain -of -Custody
<br />Record. _
<br />18. Complete the sample custody tra - A n section (relinquish-
<br />ed/received signatures, etc.). Anytime the samples and their ;
<br />Chain -of -Custody Record(s�= change hands . among. ; "-
<br />employees, this is to be-recorded:using the signatures of thy;
<br />people involved. and the .time and Me. The employee who
<br />actually ships the transport.contairtarshell sign in the "Dfspat
<br />ched By" section and note the date;and time that the samples
<br />are shipped. ;
<br />.19. Be sure to specify to whom and where the sample result'
<br />are to go. Give the name of the. person who is to receive the
<br />data, check off the office in which he or she works, and note .
<br />whether or not preliminary verbals are, requested. ,
<br />20. The yellow and pink copies of the Chatn-of-Custody Record h
<br />are to be sent with the sarnph4,.to the laboratory.
<br />
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