ARCHIVED REPORTS_2008_2 - Laserfiche WebLink

Home Browse Search

Columbia Analytical Services,Inc. Sample Acceptance Check Form Client: Shaw Environmental&Infrastructure,Inc. Work order: P0802444 Project: Foothill Landfill,San Joaquin County/ 124591 (Ground Water) Sample(s)received on: 08/01/08 Date opened: 08/01/08 by: LKUKITA Note: This fort is used for all samples received by CAS. The use of this form for cu stody seals is strictly meant to indicate presence/absence and not as an indication of compliance or nonconformity. Thermal preservation and pH will only be evaluated either at the request of the client and/or as required by the method/SOP. Yes No NIA 1 Were sample containers properly marked with client sample ID? 0 ❑ ❑ 2 Container(s)supplied by CAS? 0 ❑ ❑ 3 Did sample containers arrive in good condition? 0 ❑ ❑ 4 Were chain-of-custody papers used and filled out? 0 ❑ ❑ 5 Did sample container Iabels and/or tags agree with custody papers? 0 ❑ ❑ 6 Was sample volume received adequate for analysis? 0 ❑ ❑ 7 Are samples within specified holding times? 0 ❑ ❑ 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? Cooler Temperature 3 °C Blank Temperature °C 9 Was a trip blank received? 0 ❑ ❑ Trip blank supplied by CAS: Serial# 070808 -TB 3 10 Were custody seals on outside of cooler/Box? ❑ 0 ❑ Location of seal(s)? Sealing Lid? ❑ ❑ 0 Were signature and date included? ❑ ❑ 0 Were seals intact? ❑ ❑ Were custody seals on outside of sample container? ❑ 0 ❑ Location of seal(s)? Sealing Lid? ❑ ❑ 0 Were signature and date included? ❑ ❑ 0 Were seals intact? ❑ ❑ 0 11 Do containers have appropriate preservation, according to method/SOP or Client specified information? 0 ❑ ❑ Is there a client indication that the submitted samples are pH preserved? 0 ❑ ❑ Were VOA vials checked for presence/absence of air bubbles? 0 ❑ ❑ Does the client/method/SOP require that the analyst check the sample pH and if necessary alter it? 0 ❑ ❑ 12 Tubes: Are the tubes capped and intact? ❑ ❑ 0 Do they contain moisture? ❑ ❑ 0 13 Badges: Are the badges properly capped and intact? ❑ ❑ 0 Are dual bed badges separated and individually capped and intact? ❑ ❑ 0 ..........:::.....:.::::.::.::..:..:.:.. ------------------------ .... .... .. .:......... ..........................::::•,:..:....:�t.�.{.............�:::.�::::nom:::::;:....n.......�..�.•..�....�..�..(..............:1..:..n.:::::...,....rSil:::w4.:.i:•:5:::.wS�:�::p::�::1:::�vr:.::w:::::n•4�r. .;':.:;;•:;.:'.:::;:.;::::;:::.:::..:�:.:::.;'<.;;:.::.;:.::.�::;;:.;:�� "��!#3>:::::-::i'•.�i is .,..::::::::: .CRM1ti{GF.(l�'r�i.'i?i>Y•i:+:4i Si:+�i::iii:vi P0802444-001.01 40ml VOA HCL <2 A P0802444-001.02 40ml VOAHCL <2 A P0802444-001.03 40m1 VOA HCL A P0802444-001.04 100omL Plastic NP P0802444-001.05 250mL Plastic NP P0802444-001.06 500ml-Plastic HNO3 <2 .P0802444-002.01 40m1 VOA HCL <2 A Bxplain any discrepancies:(include lab sample ID numbers): *Required pH:Phenols/COD/NH3tTOC/rOX/NO3+NO2/rKN/r.PHOS,H2SO4(pH<2);Metals,HNO3(pH<2);CN(NaOH or NaOH/Asc Acid)(pH>12); Diss.Sulfide,NaOH(pH>12);T.Sulfide,NaOH/LnAc(pH>12) RSK-MEEPP,HCL(p11<2);RSK-CO2,(pH 5-8);Sulfur(pH>4) P0802444 Shaw Environmental&inf-astnicture,Ine._Poodull LandfUL San Joaquin County-124591(Ground Water)-Page t of 2 08/13/08 4:55 PM