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Columbia Analytical Services,Inc. <br /> Sample Acceptance Check Form <br /> Client: Shaw Environmental&Infrastructure,Inc. Work order: P0800213 <br /> Project: Foothill Landfill,San Joaquin County/ 124591 (Ground Water) <br /> Sample(s)received on: 02/07/08 Date opened: 02/07/08 by: LKUKITA <br /> Note: This form is used for all samples received by CAS. The use of this fonn.for custody seals is strictly meant to indicate presence/absence and not as an indication of <br /> compliance or nonconformity. Thema(preservation and pH will only be evaluated either at the request of the client and/or as required by the method/SOY. <br /> Yes No N/A <br /> 1 Were sample containers properly marked with client sample ID? [H] ❑ ❑ <br /> 2 Container(s) supplied by CAS? ❑ 0 ❑ <br /> 3 Did sample containers arrive in good condition? IE ❑ ❑ <br /> 4 Were chain-of-custody papers used and filled out? M ❑ ❑ <br /> 5 Did sample container labels and/or tags agree with custody papers? El ❑ ❑ <br /> 6 Was sample volume received adequate for analysis? 0 ❑ ❑ <br /> 7 Are samples within specified holding times? 0 ❑ ❑ <br /> 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? M ❑ ❑ <br /> Cooler Temperature 'C Blank Temperature 2 °C <br /> 9 Was a trip blank received? 0 ❑ ❑ <br /> Trip blank supplied by CAS:Serial# 0117 -TB 1 <br /> 10 Were custody seals on outside of cooler/Box? ❑ ® ❑ <br /> Location of seal(s)? Sealing Lid? ❑ ❑ <br /> Were signature and date included? ❑ ❑ [F] <br /> Were seals intact? ❑ ❑ E <br /> Were custody seals on outside of sample container? ❑ El ❑ <br /> Location of seal(s)? Sealing Lid? ❑ ❑ D <br /> Were signature and date included? ❑ ❑ FX-1 <br /> Were seals intact? ❑ ❑ 0 <br /> I 1 Do containers have appropriate preservation,according to method/SOP or Client specified information? 0 ❑ ❑ <br /> Is there a client indication that the submitted samples are pH preserved? El ❑ ❑ <br /> Were VOA vials checked for presence/absence of air bubbles? 0 ❑ ❑ <br /> Does the client/method/SOP require that the analyst check the sample pH and if necessary alter it? ❑ ❑ <br /> 12 Tubes: Are the tubes capped and intact? ❑ ❑ Q <br /> Do they contain moisture? ❑ ❑ <br /> 13 Badges: Are the badges properly capped and 'intact? ❑ ❑ O <br /> Are dual bed badges separated and individually capped and intact? ❑ ❑ <br /> t ul Shntlrle ID Calatrtrrne)~ tcqutri d iJe4OvedJ*:l ustctl :'1a 1A H�9dslr nse : Ji cntlaf l #e�411 tut# <br /> Deserto..ton: p1I* pH pH Present rl bsenc,�) G`tlslartteut� <br /> P0800213-001.01 40ml VOA HCL <2 A <br /> P0800213-001.02 40ml VOA HCL <2 A <br /> P0800213-001.03 40ml VOA HCL A <br /> P0800213-001.04 1000nil AG NP <br /> P0800213-001.05 1000ml AG NP <br /> P0800213-001.06 1o00mL Plastic NP <br /> P0800213-001.07 250mL Plastic NP <br /> Explain any discrepancies:(include lab sample ID numbers): <br /> E: <br /> *Required pH:Phenols/COD/NH3:TOC/TOX.'NO3+NO2"IKNi r.PHOS,H2SO4(pH<2);Metals,HNO3(pH<2);CN(NaOH orNaOH/Asc Acid)(pH>12); <br /> Uiss.Sulfide,NaOH(pl4>12);T.Sulfide,NaOIl/ZaAc(pH>12) RSK-MEEPP,HCL(pH<2);RSK-CO2,(pH 5-8);Sulfur(pH>4) <br /> P0800213Sh—E n4mnmattal k Infmuwtum,Ine._pootlull Landfill,San Joaquin County_124591(Ground Warer) -Page 1 of' 03/06/08 7:27 AM <br />