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Columbia Analytical Services,Inc. Sample Acceptance Check Form Client: Shaw Environmental&Infrastructure,Inc. Work order: P0900161 Project: Foothill Landfill, San Joaquin County/124591 (Ground Water) Samples)received on: 01/16/09 Date opened: 01/16/09 by: LKUKITA 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 indication of compliance or nonconformity. Themial preservation and pH will only be evaluated either at the request of the client and/or as required by the method/SOP. Yes No N/A 1 Were sample containers properly marked with client sample ID? M ❑ ❑ 2 Container(s)supplied by CAS? ® ❑ ❑ 3 Did sample containers arrive in good condition? ® ❑ ❑ 4 Were chain-of-custody papers used and filled out? M ❑ ❑ 5 Did sample container labels and/or tags agree with custody papers? ® ❑ ❑ 6 Was sample volume received adequate for analysis? ® ❑ ❑ 7 Are samples within specified holding times? D ❑ ❑ 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? ® ❑ ❑ , Cooler Temperature OC Blank Temperature 3 eC 9 Was a trip blank received? 0 ❑ ❑ Trip blank supplied by CAS: Serial# SHAW -TB 10 Were custody seals on outside of cooler/Box? ❑ ® ❑ Location of seal(s)? Sealing Lid? ❑ ❑ 0 Were signature and date included? ❑ ❑ [R] Were seals intact? ❑ ❑ [R] Were custody seals on outside of sample container? ❑ E ❑ Location of seal(s)? Sealing Lid? ❑ ❑ FX-1 Were signature and date included? ❑ ❑ Were seals intact? ❑ ❑ 0 11 Do containers have appropriate preservation,according to method/SOP or Client specified information? ® ❑ ❑ Is there a client indication that the submitted samples are pH preserved? ® ❑ ❑ Were VOA vials checked for presence/absence of air bubbles? ® ❑ ❑ Does the client/method/SOP require that the analyst check the sample pH and if necessary alter it? ® ❑ ❑ 12 Tubes: Are the tubes capped and intact? ❑ ❑ FAI Do they contain moisture? ❑ ❑ M 13 Badges: Are the badges properly capped and intact? ❑ ❑ 0 Are dual bed badges separated and individually capped and intact? ❑ ❑ D ; s s :.F :::s::::;..v. > .. ,: >t';2f1 1#ct9. ed `��::;�:�'':<y`�:: �� 1 Y<•�. .:>1,�?'r.; k`� t �i� �` � �';' .#� � .�: Ste" �` It.; �: 1`..�� • ' fi••kd 'r< `.>'»>;•`1 ;;-:.;: <s ' `: ?`.'. ` '>:• z �#f?% ............: f•". SF '1l ERPa3.GtS T': Y#'z' ''s 3<>��-.'iv"•*•. P0900161-001.01 40ml VOA HCL <2 A P0900161-001.02 40ml VOA HCL A P0900161-001.03 40m1 VOA HCL A P0900161-001.04 100omL Plastic NP P0900161-001.05 250mL Plastic NP P0900161-001.06 500mL Plastic HNO3 <2 P0960191-00271- 40mlVOAHCL <2 A Explain any discrepancies:(include lab sample ID numbers): *Required pH Phenols/COD/NMtTOC/rOX/NO3+NO2/rKN/r.PHOS,H2SO4(pH<2);Metals,HNO3(pHQ);CN(NaOH or NaOH/Asc Acid)(pH>12); Disc.Sulfide,NaOH(pIi>12);T.Sulfide,NaOF12nAc(pffi12) RSK-ME HCL HCL(pH<L);RSK•CO2,(pH 5-8);Sulfur(pH->4) P0900161_Shaw&rvironmental&Infiastmcture,Jnc._Foothill Landfill,San Joaquin County-121591(Ground W ate[)•Page 1 of 2 01/23/09 10:09 AM.