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Columbia Analytical Services, Inc. Sample Acceptance Check Form Client: Shaw Environmental&Infrastructure,Inc. Work order: P0900671 Project: Foothill Landfill,San Joaquin County/ 124591 (Resample) Sample(s)received on: 02/26/09 Date opened: 02/26/09 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. 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 N/A 1 Were sample containers properly marked with client sample fD? L] ❑ ❑ 2 Container(s)supplied by CAS? [x ❑ ❑ 3 Did sample containers arrive in good condition? ® ❑ ❑ 4 Was a chain-of-custody provided? px ❑ ❑ 5 Was the chain-of-custody properly completed? ® ❑ ❑ 6 Did sample container labels and/or tags agree with custody papers? ® ❑ ❑ 7 Was sample volume received adequate for analysis? 0 ❑ ❑ 8 Are samples within specified holding times? ® ❑ ❑ 9 Was proper temperature(thermal preservation)of cooler at receipt adhered to? 191 ❑ ❑ Cooler Temperature 3 °C Blank Temperature °C 10 Was a trip blank received? (] ❑ ❑ Trip blank supplied by CAS: Client provided 11 Were custody seals on outside of cooler/Box? ❑ ❑X ❑ Location of seal(s)? Sealing Lid? ❑ ❑ FAI Were signature and date included? ❑ ❑ [R] Were seals intact? ❑ ❑ M Were custody seals on outside of sample container? ❑ 0 ❑ Location of seal(s)? Sealing Lid? ❑ ❑ M Were signature and date included? ❑ ❑ Were seals intact? ❑ ❑ 12 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? 0 ❑ ❑ Were VOA vials checked for presence/absence of air bubbles? 21 ❑ ❑ Does the client/method/SOP require that the analyst check the sample pH and if necessary alter it? ❑ ❑ 13 Tubes: Are the tubes capped and intact? ❑ ❑ l] Do they contain moisture? ❑ ❑ 14 Badges: Are the badges properly capped and intact'? ❑ ❑ 0 Are dual bed badges separated and individually capped and intact? ❑ ❑ ........... ::•i••}:v:v:::::::.:::::•:::::::w.:v:::::v::::::v,v,}'.i'.::j4}}i�:.i'p'jn•:{�::4•.v::n:. .......... {:.v:n:x:•}'i^}.:...v.}:v{::::::y::•}'{:.} :::::i:{{.$?:•}}}:•}i}}:-u:.}w::;}}:::::{: .y:v::• :.:..w;•vv.::•.v::.:•v•.:vv.:;•.;v.:.:;.:•:::..:...: n:..:::::::v•..::.•.:vn:.nv.::::.v..v:....:.:...................... ..... .....v.:.:.::....:.:•::•:i v / f .i /. *•':S1 v.j:}},::,:j::;:2i'::y:::::}::;:ice:. : +� } y,�J / 4• F �j'� i. ........... 1_=$ �{ :.J.v...::::.•:;•S:r.•::¢5::::::::w::::w:::nv•:v::v::::•l:vv:::v::1::::::::::+.v:::::•v::::::.:................. { ......... ........... ..F.:$J•nv?. ..v,.;.....•:{. .:.:{-v•:•:::::-::::::•v v.v:::v:{.::wn:+nw:::-�:•:w:::v.;•.:.:v;..v::•:;••:.:.:..:.:.:.:.n:. ; 0900671-001.01 40ml VOA HCl. <2 A P0900671-001.02 40ml VOA HCL A P0900671-001.03 40rn1VOA HCL A P0900671-002.01 40tn1 VOA HCL <2 A P0900671-002.02 40m1VOA HCL A Explain any discrepancies:(include lab sample ID numbers): *Required pH:Phenols/COD/NH3frO�C(rrOx/N037+NN,O,22frKNfr..P�HOS,H2SO4(pH<2);RMetals,BN03(pH 2);�CTN(NaOH� or NaOH/Ase Acid)(pH>12); Diss.Su� �C Ia ir2�ilmeritall&ei&eNs�nOioCure,7nc�ootF�Laudfilt San)oago n CovatyK 1 ZdS9 ekaHmpre)(1?Yag�l off-CO2,(pH 5-B):Sulfir(pHA 4) 03/09/09 5:02 PM