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Columbia Analytical Services,Inc. Sample Acceptance Check Form Client: Shaw Environmental&Infrastructure,Inc. Work order; P0900162 Project: Foothill Landfill, San Joaquin County/124591 (Leachate Module) Sample(s)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 presencelabsence 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 ID? FR-1 ❑ ❑ 2 Container(s)supplied by CAS? Q ❑ ❑ 3 Did sample containers arrive in good condition? M ❑ ❑ 4 Were chain-of-custody papers used and filled out? 0 ❑ ❑ 5 Did sample container labels and/or tags agree with custody papers? M ❑ ❑ 6 Was sample volume received adequate for analysis? ® ❑ ❑ 7 Are samples within specified holding times? p ❑ ❑ 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? M ❑ ❑ Cooler Temperature °C Blank Temperature 3 °C 9 Was a trip blank received? ❑ ❑x ❑ Trip blank supplied by CAS: Serial# -TB 10 Were custody seals on outside of cooler/Box? ❑ Ox ❑ Location of seal(s)? Sealing Lid? ❑ ❑ 0 Were signature and date included? ❑ ❑ MR Were seals intact? ❑ ❑ ® I Were custody seals on outside of sample container? ❑ px ❑ Location of seal(s)? Sealing Lid? ❑ ❑ El Were signature and date included? ❑ ❑ �x Were seals intact? ❑ ❑ ❑x 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? Ox ❑ ❑ 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? [x] ❑ ❑ 12 Tubes: Are the tubes capped and intact? ❑ ❑ M 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? ❑ ❑ •s::s:.ss::Y:. ;..:.s:.:::.s:cx•::-::::::. :. .:...: ..::�::?:•:�.::..:....... ::•ss:-:-:.:: i ..:•:•.;:;.., ,'-:.{.'.::.v.•{ ,t?••s•+:.r•::{.::::<%'r ,..:... - :..:.{.::-:::{:?:: 111�U11�`:<:::>:::>:;::::..{{.::.. . 1�.t ;::.::::r.:.:. .....;:.. . . `��:rs�:y.{#;:�y+:. .v::+ •, •.vh. :...............:::.nv::.v:?.; :mow::::v{.v::.:..:.+. .....................::.v::::•.v v:�.v.v:::::nv:v:J.......:........ r.:...n .n........ r.............n..... {i:•}'fi' ...+:::..:�:..�:.:::.,-.::::.::::._.,.:.:..::..:............... .. .....::.:..;:.: :.1DF.s:s:?:.;;.s:.s•:?:::..: .;<:�r::::::::;•+..:.: .sr..::...{., : .: .+; .;...... , ...::::ti:::{s:>: �. .rY-:•. :..k. ..r:......:.:. .:::� .K .::.�:.,:.:.::.:..:........ � �ft3#3•�::•::>s::z:•.:•s>;:-s;: '�:{::...:::......:..:?::.. fit::{.::r..... ..... �.�•..::::::::.:<•.. .R . .:::;..;v.;•.>:••:�-.>:;:•;:.:�: �:• ..... ......,y ........e...:.:.:.:. Y..+•:.•.n::;dv,.:J::;•{;Y.•f:•i:i:•.....n........ .........:......... :�.:;•,..{:: :.:.inn- .=.A....... n >�. :.{.. . ... .........................................................:.........-:::...v....•::::::::.:;.;....+:v:. .. f.::.......f� .v:: 900162-001.0140ml VOA HCL <2 A P0900162-001.02 40ml VOA HCL A P0900162-001.03 40m1VOA HCL A P0900162-001.04 1000mL Plastic NP P0900162-001.05 25omL Plastic NP P0900162-001.06 500mL Plastic HNO3 <2 Explain any discrepancies:(include lab sample ID numbers): *Required pH:Phenols/COD/NH3/1'OC/TOX/NO3+NO2aKN/r.PHOS,H2SO4(pHQ);Metals,HNO3(pHQ.);CN(NaOH or NaOH(Ase Acid)(p11>12); Diss.Sulfide,NaOH(pH>12);T.Sulfide,NaOH/ZnAc(p11>12) RSK-MEEPP,HCL(pHd);RSK-CO2,(pH 5-8);Sulfur(pH>4) P0900112_1w Environmental&lnhastmchue,Tnc._Foothill landfill,Sao Joaquin County_124591(Leachate Module) Page 1 of 1 - 01/23/09 10:09 AM