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Columbia Analytical Services,Inc. <br /> Sample Acceptance Check Form <br /> Client: Shaw E& I, Inc. Work order: P2601316 <br /> Project: North County Landfill, San Joaquin County/791 88 <br /> Sample(s)received on. 5/19/06 Date'opened: 5/19/06 by: MZ <br /> 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 indicatio <br /> compliance or nonconformity. Thermal preservation and pH will only be evaluated either at the request of the client or as required by the method/SOP. <br /> Yes No N/ <br /> 1 Were custody seals on outside of cooler/Box? _ <br /> Location of seal(s)? Sealing Lid? ❑ ❑ <br /> Were signature and date included? ❑ ❑ <br /> Were seals intact? ❑ ❑ <br /> Were custody seals on outside of sample container? ❑ <br /> Location of seal(s)? Sealing Lid? 11 1:1 <br /> Were <br /> signature and date included'? ❑ <br /> Were seals intact? ❑ ❑ C <br /> 2 Were sample containers properly marked with client sample ID? M ❑ <br /> 3 Did sample containers arrive in good condition? ® ❑ <br /> 4 Were chain-of-custody papers used and filled out? 1:15 Did sample container labels and/or tags agree with custody papers? MR 0 ❑ <br /> 6 . Was sample volume received adequate for analysis? <br /> 7 Are samples within specified holding times? M ❑ <br /> 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? Mx ❑ <br /> Cooler Temperature 4 oC <br /> Blank Temperature NA oc <br /> 9 Is pH(acid)preservation necessary, according to method/SOP or Client specified information'? ❑x ❑ L <br /> Is there a client indication that the submitted samples are pH(acid)preserved? ❑x ❑ ❑ <br /> Were VOA vials checked for presence/absence of air bubbles? M ❑ <br /> Does the client/method/SOP require that the analyst check the sample pH and if necessary alter it? ❑x ❑ <br /> 10 Tubes: Are the tubes capped and intact? ❑ ❑ <br /> Do they contain moisture? ❑ <br /> I I Badges: Are the badges properly capped and intact? ❑ ❑ x <br /> Are dual bed badges separated and individually capped and intact? ❑ ❑ <br /> :...:::..:::::.......:.:::..::: ...........::::...:........:.:::::::.........::.ut r d.. <br /> :::::.P:...........:.:::.::::::....... e.::.:.:::. ............ <br /> 2601316-001 a Absence <br /> P2601316-OOIB Absence <br /> P2601316-OOIC Absence <br /> P2601316-002 L a Absence <br /> P2601316-002B Absence <br /> P2601316-002C Absence <br /> P2601316-003 Absence <br /> P2601316-003B Absence <br /> P2601316-003C Absence <br /> lI —P2601316 <br /> Absence <br /> Explain any discrepancies: (include lab sample ID numbers): <br /> 38 <br /> 600168R.XL8•cooler-page 1 of 2 <br />