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Columbia Analytical Services, Inc. <br /> Sample Acceptance Check Form <br /> Client: Shaw Environmental&Infrastructure,Inc. Work order: P0802842 <br /> Project: Foothill Landfill, San Joaquin County/124591 (Resample) <br /> Sample(s)received on: 08/29/08 Date opened: 08/29/08 by: SSTAPLES <br /> Note: This form is used for all samples received by CAS. The use of this fort for custody seals is strictly meant to indicate presence/absence and not as an indication of <br /> 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. <br /> Yes No N/A <br /> 1 Were sample containers properly marked with client sample ID? 0 ❑ ❑ <br /> 2 Container(s)supplied by CAS? Fx-1 ❑ ❑ <br /> 3 Did sample containers arrive in good condition? M ❑ ❑ <br /> 4 Were chain-of-custody papers used and filled out? 0 ❑ ❑ <br /> 5 Did sample container labels and/or tags agree with custody papers? M ❑ ❑ <br /> 6 Was sample volume received adequate for analysis? M ❑ ❑ <br /> 7 Are samples within specified holding times? M ❑ ❑ <br /> 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? M ❑ ❑ <br /> Cooler Temperature °C Blank Temperature 6 oC <br /> 9 Was a trip blank received? ❑ ❑ ❑ <br /> Trip blank supplied by CAS: Serial# 818 -TB 2 <br /> 10 Were custody seals on outside of cooler/Box? ❑ ® ❑ <br /> Location of seal(s)? Sealing Lid? ❑ ❑ 0 <br /> Were signature and date included? ❑ ❑ 21 <br /> Were seals intact? ❑ ❑ [H] <br /> Were custody seals on outside of sample container? ❑ 0 ❑ <br /> Location of seal(s)? Sealing Lid? ❑ ❑ M <br /> Were signature and date included? ❑ ❑ [H] <br /> Were seals intact? ❑ ❑ 0 <br /> 11 Do containers have appropriate preservation,according to method/SOP or Client specified information? ❑x ❑ ❑ <br /> Is there a client indication that the submitted samples are pH preserved? ❑ ❑ [] <br /> Were VOA vials checked for presence/absence of air bubbles? ® ❑ ❑ <br /> Does the client/method/SOP require that the analyst check the sample pH and if necessary alter it? ❑ ❑ ❑x <br /> 12 Tubes: Are the tubes capped and intact? ❑ ❑ FX1 <br /> Do they contain moisture? ❑ ❑ [R] <br /> 13 Badges: Are the badges properly capped and intact? ❑ ❑ (] <br /> Are dual bed badges separated and individually capped and intact? ❑ ❑ <br /> ;:.<:.;:.;:.:;.> • :. ;:. .::.::::..:.::::::::: :;:.;:.:;;:::.;.:.;;:.: tt red»>:::»::>� . �::»::::: ::>:: � € <::::::< ��::f:�......... ...e�:::..:..:.....N.......I ......... ..�......rl............... <br /> .......:...tab: � ...................... ... ::::::::.:�:.:::.:..... ..I.................... 1 ............, .��: .:::.:.:.:.:...:.:... -...............................[�.....:.:.......:...........:...:.....:....:... <br /> ................... <br /> ::..:...:.: <br /> ......... .................. ......... ..............:..:..::::::.:........:.::::.....:...... <br /> P0802842-001.01 40ml VOA HCL <2 A <br /> P0802842-001.02 40ml VOA HCL A <br /> P0802842-001.03 40m1 VOA HCL A <br /> P0802842-002.01 40m1 VOA HCL <2 A <br /> P0802842-002.02 40rril VOA HCL P <br /> Explain any discrepancies:(include lab sample ID numbers): <br /> 'Required pl-L Phenols/COD/NH3/rOCfFOX/NO3+NO2/rKN/r.PHOS,H2SO4(pHf2);Metals,HNO3(pHQ);CN(NaOH or NaOH/Asc Acid)(pH>12); 66 <br /> Diss.Sulfide,Na0H(pH>12);T.Sulfide,NaOH/LnAc(pH>12) RSK-MEEPP,HCL(pHQ);RSK-CO2,(pH 5-8);Sulfur(pH>4) <br /> P0802842_Shaw Environmental&Infrastructure,Inc—Fooffi l Landfill,Sm Joaquin Comity—124591(Resample)-Page I of 1 09/10/08 12:53 PM <br />