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Columbia Analytical Services,Inc. Sample Acceptance Check Form Client: Shaw Environmental &Infrastructure,Inc. Work order: P0900139 Project: Foothill Landfill, San Joaquin County/ 124591 (Ground Water) Sample(s)received on: 01/15/09 Date opened: 01/15/09 by: LKUKITA Note: This fonn 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 ID? ❑x ❑ ❑ 2 Container(s)supplied by CAS? ❑x ❑ ❑ 3 Did sample containers arrive in good condition? ❑x ❑ ❑ 4 Were chain-of-custody papers used and filled out? ❑x ❑ ❑ 5 Did sample container labels and/or tags agree with custody papers? 1 ❑ ❑ 6 Was sample volume received adequate for analysis? ❑x ❑ ❑ 7 Are samples within specified holding times? ❑x ❑ ❑ 8 Was proper temperature(thermal preservation)of cooler at receipt adhered to? []x ❑ ❑ Cooler Temperature °C Blank Temperature 3 °C 9 Was a trip blank received? R ❑ ❑ Trip blank supplied by CAS: Serial# SHAW -TB 10 Were custody seals on outside of cooler/Box? ❑ ❑x ❑ Location of seal(s)? Sealing Lid? ❑ ❑ MR Were signature and date included? ❑ ❑ 0 Were seals intact? ❑ ❑ ❑x Were custody seals on outside of sample container? ❑ 0 ❑ Location of seal(s)? Sealing Lid? ❑ ❑ E Were signature and date included? ❑ ❑ R Were seals intact? ❑ ❑ 0 11 Do containers have appropriate preservation, according to method/SOP or Client specified information? Ex ❑ ❑ Is there a client indication that the submitted samples are pH preserved? []x ❑ ❑ Were VOA vials checked for presence/absence of air bubbles? R ❑ ❑ 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? ❑ ❑ ❑x Do they contain moisture? ❑ ❑ ❑x 13 Badges: Are the badges properly capped and intact? ❑ ❑ ❑x 1 Are dual bed badges separated and individually capped and intact? ❑ ❑ xO .......... ...........:........:.....................:.. #«<€ ....:.....::..:..::..:.:::..::::::::..........:... ::.::... ..:....:.. ;::..;:;..:. . ......................................................:............. P0900139-001.01 40rn1 VOA HCL <2 A P0900139-001.02 40m1 VOAHCL <2 A P0900139-001.03 40ml VOA HCL A P0900139-001.04 1000ML Plastic NP P0900139-001.05 250mL Plastic NP P0900139-001.06 500mL Plastic HNO3 <2 3 -0 2.01 40m1VOAHCL <2 A Explain any discrepancies:(include lab sample ID numbers): *Requited pH:Phenols/COD/NH3frOCfrOX/NO3+NO2/rKNfr.PHOS,H2SO4(pH<2);Metals,I NO3(pHQ);CN(Na0H or NaOH/Ase Acid)(pH>12); Diss.Sulfide,NsOH(pH>12);T.Sulfide,NaOH/lnAc(pH>12) RSK-MEEPP,HCL(pH<2);RSK-CO2,(pH 5-8);Sulfur(pH>4) P09001N_Shaw Envuotnnental$laftutructure,Iuc._FootIO Landfill,Safi Joaquin Conary_'174591(Ground Water)-Page 1 of 2 01/19/09 3:02 PM