ANALYTICAL REPORTTestAmerica Laboratories, Inc.TestAmerica Burlington30 Community DriveSuite 11South Burlington, VT 05403Tel: (802)660-1990
TestAmerica Job ID: 200-10351-1TestAmerica Sample Delivery Group: 200-10351-1Client Project/Site: RACER - Central Foundry Massena NY
For:ARCADIS U.S. IncMassena Facility, Route 37 East56 Chevrolet RoadMassena, New York 13662
Attn: Richard Boelter
Authorized for release by:4/17/2012 5:02:59 PM
Kathryn KellyProject Manager [email protected]
The test results in this report meet all 2003 NELAC and 2009 TNI requirements for accreditedparameters, exceptions are noted in this report. This report may not be reproduced except in full,and with written approval from the laboratory. For questions please contact the Project Managerat the e-mail address or telephone number listed on this page.
This report has been electronically signed and authorized by the signatory. Electronic signature isintended to be the legally binding equivalent of a traditionally handwritten signature.
Results relate only to the items tested and the sample(s) as received by the laboratory.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Table of Contents
Client: ARCADIS U.S. IncProject/Site: RACER - Central Foundry Massena NY
TestAmerica Job ID: 200-10351-1SDG: 200-10351-1
Page 2 of 17TestAmerica Burlington
4/17/2012
Cover Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Table of Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Definitions/Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Case Narrative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Detection Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Client Sample Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Surrogate Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
QC Sample Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
QC Association Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Lab Chronicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Certification Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Method Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Sample Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Chain of Custody . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Receipt Checklists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Definitions/GlossaryTestAmerica Job ID: 200-10351-1Client: ARCADIS U.S. Inc
SDG: 200-10351-1Project/Site: RACER - Central Foundry Massena NY
Qualifiers
Air - GC Semi VOA
Qualifier Description
U Indicates the analyte was analyzed for but not detected.
Qualifier
Glossary
These commonly used abbreviations may or may not be present in this report.
☼ Listed under the "D" column to designate that the result is reported on a dry weight basis
Abbreviation
%R Percent Recovery
CNF Contains no Free Liquid
DL, RA, RE, IN Indicates a Dilution, Reanalysis, Re-extraction, or additional Initial metals/anion analysis of the sample
EDL Estimated Detection Limit
EPA United States Environmental Protection Agency
MDL Method Detection Limit
ML Minimum Level (Dioxin)
ND Not detected at the reporting limit (or MDL or EDL if shown)
PQL Practical Quantitation Limit
QC Quality Control
RL Reporting Limit
RPD Relative Percent Difference, a measure of the relative difference between two points
TEF Toxicity Equivalent Factor (Dioxin)
TEQ Toxicity Equivalent Quotient (Dioxin)
TestAmerica BurlingtonPage 3 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Case NarrativeClient: ARCADIS U.S. Inc TestAmerica Job ID: 200-10351-1
Project/Site: RACER - Central Foundry Massena NY SDG: 200-10351-1
Job ID: 200-10351-1
Laboratory: TestAmerica Burlington
Narrative
CASE NARRATIVE
Client: ARCADIS U.S. Inc
Project: RACER - Central Foundry Massena NY
Report Number: 200-10351-1
With the exceptions noted as flags or footnotes, standard analytical protocols were followed in the analysis of the samples and no
problems were encountered or anomalies observed. In addition all laboratory quality control samples were within established control
limits, with any exceptions noted below. Each sample was analyzed to achieve the lowest possible reporting limit within the constraints of
the method. In some cases, due to interference or analytes present at high concentrations, samples were diluted. For diluted samples,
the reporting limits are adjusted relative to the dilution required.
Calculations are performed before rounding to avoid round-off errors in calculated results.
All holding times were met and proper preservation noted for the methods performed on these samples, unless otherwise detailed in the
individual sections below.
RECEIPT
The samples were received on 04/14/2012; the samples arrived in good condition, properly preserved and on ice. The temperature of the
coolers at receipt was 7.8 C.
The samples in this sample set were received at the laboratory outside the required temperature criteria, the temperature upon receipt
was 7.8 ºC.
PCB IN AIR
Samples AIR1-04132012, AIR2-04132012 and AIR3-04132012 were analyzed for PCB in Air in accordance with TO-4A. The samples were
prepared on 04/14/2012 and analyzed on 04/17/2012.
Samples AIR1-04132012[2X] and AIR2-04132012[2X] required dilution prior to analysis. The reporting limits have been adjusted
accordingly.
No difficulties were encountered during the TO-4A analyses.
All quality control parameters were within the acceptance limits.
TestAmerica BurlingtonPage 4 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Detection SummaryTestAmerica Job ID: 200-10351-1Client: ARCADIS U.S. Inc
SDG: 200-10351-1Project/Site: RACER - Central Foundry Massena NY
Client Sample ID: AIR1-04132012 Lab Sample ID: 200-10351-1
Aroclor 1242 0.0051
RL
0.00052 ug/m3 PUF TO-4A2
MDL
0.000036
Analyte Result Qualifier Unit Dil Fac D Method Prep Type
Total/NA
Client Sample ID: AIR2-04132012 Lab Sample ID: 200-10351-2
Aroclor 1242 0.0059
RL
0.00051 ug/m3 PUF TO-4A2
MDL
0.000036
Analyte Result Qualifier Unit Dil Fac D Method Prep Type
Total/NA
Client Sample ID: AIR3-04132012 Lab Sample ID: 200-10351-3
Aroclor 1242 0.0019
RL
0.00025 ug/m3 PUF TO-4A1
MDL
0.000018
Analyte Result Qualifier Unit Dil Fac D Method Prep Type
Total/NA
TestAmerica BurlingtonPage 5 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Client Sample ResultsTestAmerica Job ID: 200-10351-1Client: ARCADIS U.S. Inc
SDG: 200-10351-1Project/Site: RACER - Central Foundry Massena NY
Lab Sample ID: 200-10351-1Client Sample ID: AIR1-04132012Matrix: AirDate Collected: 04/13/12 08:00
Date Received: 04/14/12 10:00
Sample Container: PUF
Method: TO-4A - Pesticides and PCBs in Ambient AirRL MDL
Aroclor-1016 0.00052 U 0.00052 0.000031 ug/m3 PUF 04/14/12 14:01 04/17/12 02:52 2
Analyte Dil FacAnalyzedPreparedUnit DResult Qualifier
0.00052 0.000079 ug/m3 PUF 04/14/12 14:01 04/17/12 02:52 2Aroclor 1221 0.00052 U
0.00052 0.000090 ug/m3 PUF 04/14/12 14:01 04/17/12 02:52 2Aroclor 1232 0.00052 U
0.00052 0.000036 ug/m3 PUF 04/14/12 14:01 04/17/12 02:52 2Aroclor 1242 0.0051
0.00052 0.000065 ug/m3 PUF 04/14/12 14:01 04/17/12 02:52 2Aroclor 1248 0.00052 U
0.00052 0.000028 ug/m3 PUF 04/14/12 14:01 04/17/12 02:52 2Aroclor 1254 0.00052 U
0.00052 0.000017 ug/m3 PUF 04/14/12 14:01 04/17/12 02:52 2Aroclor 1260 0.00052 U
0.00052 0.000030 ug/m3 PUF 04/14/12 14:01 04/17/12 02:52 2Aroclor 1262 0.00052 U
0.00052 0.000020 ug/m3 PUF 04/14/12 14:01 04/17/12 02:52 2Aroclor 1268 0.00052 U
DCB Decachlorobiphenyl 89 45 - 125 04/14/12 14:01 04/17/12 02:52 2
Surrogate Dil FacAnalyzedPreparedQualifier Limits%Recovery
Tetrachloro-m-xylene 92 04/14/12 14:01 04/17/12 02:52 230 - 130
Lab Sample ID: 200-10351-2Client Sample ID: AIR2-04132012Matrix: AirDate Collected: 04/13/12 08:13
Date Received: 04/14/12 10:00
Sample Container: PUF
Method: TO-4A - Pesticides and PCBs in Ambient AirRL MDL
Aroclor-1016 0.00051 U 0.00051 0.000031 ug/m3 PUF 04/14/12 14:01 04/17/12 03:17 2
Analyte Dil FacAnalyzedPreparedUnit DResult Qualifier
0.00051 0.000078 ug/m3 PUF 04/14/12 14:01 04/17/12 03:17 2Aroclor 1221 0.00051 U
0.00051 0.000089 ug/m3 PUF 04/14/12 14:01 04/17/12 03:17 2Aroclor 1232 0.00051 U
0.00051 0.000036 ug/m3 PUF 04/14/12 14:01 04/17/12 03:17 2Aroclor 1242 0.0059
0.00051 0.000064 ug/m3 PUF 04/14/12 14:01 04/17/12 03:17 2Aroclor 1248 0.00051 U
0.00051 0.000028 ug/m3 PUF 04/14/12 14:01 04/17/12 03:17 2Aroclor 1254 0.00051 U
0.00051 0.000016 ug/m3 PUF 04/14/12 14:01 04/17/12 03:17 2Aroclor 1260 0.00051 U
0.00051 0.000030 ug/m3 PUF 04/14/12 14:01 04/17/12 03:17 2Aroclor 1262 0.00051 U
0.00051 0.000019 ug/m3 PUF 04/14/12 14:01 04/17/12 03:17 2Aroclor 1268 0.00051 U
DCB Decachlorobiphenyl 92 45 - 125 04/14/12 14:01 04/17/12 03:17 2
Surrogate Dil FacAnalyzedPreparedQualifier Limits%Recovery
Tetrachloro-m-xylene 89 04/14/12 14:01 04/17/12 03:17 230 - 130
Lab Sample ID: 200-10351-3Client Sample ID: AIR3-04132012Matrix: AirDate Collected: 04/13/12 07:44
Date Received: 04/14/12 10:00
Sample Container: PUF
Method: TO-4A - Pesticides and PCBs in Ambient AirRL MDL
Aroclor-1016 0.00025 U 0.00025 0.000015 ug/m3 PUF 04/14/12 14:01 04/17/12 03:41 1
Analyte Dil FacAnalyzedPreparedUnit DResult Qualifier
0.00025 0.000038 ug/m3 PUF 04/14/12 14:01 04/17/12 03:41 1Aroclor 1221 0.00025 U
0.00025 0.000044 ug/m3 PUF 04/14/12 14:01 04/17/12 03:41 1Aroclor 1232 0.00025 U
0.00025 0.000018 ug/m3 PUF 04/14/12 14:01 04/17/12 03:41 1Aroclor 1242 0.0019
0.00025 0.000032 ug/m3 PUF 04/14/12 14:01 04/17/12 03:41 1Aroclor 1248 0.00025 U
0.00025 0.000014 ug/m3 PUF 04/14/12 14:01 04/17/12 03:41 1Aroclor 1254 0.00025 U
0.00025 0.0000081 ug/m3 PUF 04/14/12 14:01 04/17/12 03:41 1Aroclor 1260 0.00025 U
0.00025 0.000015 ug/m3 PUF 04/14/12 14:01 04/17/12 03:41 1Aroclor 1262 0.00025 U
0.00025 0.0000096 ug/m3 PUF 04/14/12 14:01 04/17/12 03:41 1Aroclor 1268 0.00025 U
TestAmerica BurlingtonPage 6 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Client Sample ResultsTestAmerica Job ID: 200-10351-1Client: ARCADIS U.S. Inc
SDG: 200-10351-1Project/Site: RACER - Central Foundry Massena NY
Lab Sample ID: 200-10351-3Client Sample ID: AIR3-04132012Matrix: AirDate Collected: 04/13/12 07:44
Date Received: 04/14/12 10:00
Sample Container: PUF
DCB Decachlorobiphenyl 92 45 - 125 04/14/12 14:01 04/17/12 03:41 1
Surrogate Dil FacAnalyzedPreparedQualifier Limits%Recovery
Tetrachloro-m-xylene 79 04/14/12 14:01 04/17/12 03:41 130 - 130
TestAmerica BurlingtonPage 7 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Surrogate SummaryTestAmerica Job ID: 200-10351-1Client: ARCADIS U.S. Inc
SDG: 200-10351-1Project/Site: RACER - Central Foundry Massena NY
Method: TO-4A - Pesticides and PCBs in Ambient AirPrep Type: Total/NAMatrix: Air
Lab Sample ID Client Sample ID (45-125) (45-125) (30-130) (30-130)
DCB1 DCB2 TCX1 TCX2
89 89 92 90200-10351-1
Percent Surrogate Recovery (Acceptance Limits)
AIR1-04132012
92 90 89 86200-10351-2 AIR2-04132012
92 86 79 78200-10351-3 AIR3-04132012
96 91 96 93LCS 200-36888/2-B Lab Control Sample
98 93 97 95MB 200-36888/1-B Method Blank
Surrogate Legend
DCB = DCB Decachlorobiphenyl
TCX = Tetrachloro-m-xylene
TestAmerica BurlingtonPage 8 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
QC Sample ResultsTestAmerica Job ID: 200-10351-1Client: ARCADIS U.S. Inc
SDG: 200-10351-1Project/Site: RACER - Central Foundry Massena NY
Method: TO-4A - Pesticides and PCBs in Ambient Air
Client Sample ID: Method BlankLab Sample ID: MB 200-36888/1-B
Matrix: Air Prep Type: Total/NA
Analysis Batch: 36974 Prep Batch: 36889
RL MDL
Aroclor-1016 0.10 U 0.10 0.0060 ug/m3 PUF 04/14/12 14:01 04/17/12 02:04 1
MB MB
Analyte Dil FacAnalyzedPreparedDUnitResult Qualifier
0.10 U 0.0150.10 ug/m3 PUF 04/14/12 14:01 04/17/12 02:04 1Aroclor 1221
0.10 U 0.0170.10 ug/m3 PUF 04/14/12 14:01 04/17/12 02:04 1Aroclor 1232
0.10 U 0.00700.10 ug/m3 PUF 04/14/12 14:01 04/17/12 02:04 1Aroclor 1242
0.10 U 0.0130.10 ug/m3 PUF 04/14/12 14:01 04/17/12 02:04 1Aroclor 1248
0.10 U 0.00540.10 ug/m3 PUF 04/14/12 14:01 04/17/12 02:04 1Aroclor 1254
0.10 U 0.00320.10 ug/m3 PUF 04/14/12 14:01 04/17/12 02:04 1Aroclor 1260
0.10 U 0.00580.10 ug/m3 PUF 04/14/12 14:01 04/17/12 02:04 1Aroclor 1262
0.10 U 0.00380.10 ug/m3 PUF 04/14/12 14:01 04/17/12 02:04 1Aroclor 1268
DCB Decachlorobiphenyl 98 45 - 125 04/17/12 02:04 1
MB MB
Surrogate
04/14/12 14:01
Dil FacPrepared AnalyzedQualifier Limits%Recovery
97 04/14/12 14:01 04/17/12 02:04 1Tetrachloro-m-xylene 30 - 130
Client Sample ID: Lab Control SampleLab Sample ID: LCS 200-36888/2-B
Matrix: Air Prep Type: Total/NA
Analysis Batch: 36974 Prep Batch: 36889
Aroclor-1016 1.00 0.980 ug/m3 PUF 98 65 - 125
Analyte
LCS LCS
DUnitResult Qualifier %Rec
Spike
Added
%Rec.
Limits
Aroclor 1260 1.00 1.15 ug/m3 PUF 115 65 - 125
DCB Decachlorobiphenyl 45 - 125
Surrogate
96
LCS LCS
Qualifier Limits%Recovery
96Tetrachloro-m-xylene 30 - 130
TestAmerica BurlingtonPage 9 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
QC Association SummaryTestAmerica Job ID: 200-10351-1Client: ARCADIS U.S. Inc
SDG: 200-10351-1Project/Site: RACER - Central Foundry Massena NY
Air - GC Semi VOA
Prep Batch: 36889
Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch
Air 3540C200-10351-1 AIR1-04132012 Total/NA
Air 3540C200-10351-2 AIR2-04132012 Total/NA
Air 3540C200-10351-3 AIR3-04132012 Total/NA
Air 3540CLCS 200-36888/2-B Lab Control Sample Total/NA
Air 3540CMB 200-36888/1-B Method Blank Total/NA
Analysis Batch: 36974
Lab Sample ID Client Sample ID Prep Type Matrix Method Prep Batch
Air TO-4A 36889200-10351-1 AIR1-04132012 Total/NA
Air TO-4A 36889200-10351-2 AIR2-04132012 Total/NA
Air TO-4A 36889200-10351-3 AIR3-04132012 Total/NA
Air TO-4A 36889LCS 200-36888/2-B Lab Control Sample Total/NA
Air TO-4A 36889MB 200-36888/1-B Method Blank Total/NA
TestAmerica BurlingtonPage 10 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Lab ChronicleClient: ARCADIS U.S. Inc TestAmerica Job ID: 200-10351-1
Project/Site: RACER - Central Foundry Massena NY SDG: 200-10351-1
Client Sample ID: AIR1-04132012 Lab Sample ID: 200-10351-1Matrix: AirDate Collected: 04/13/12 08:00
Date Received: 04/14/12 10:00
Prep 3540C 04/14/12 14:01 MLT36889 TAL BUR
Type
Batch Batch
MethodPrep Type LabAnalystRun
Prepared
or Analyzed
Batch
Number
Dilution
Factor
Total/NA
Analysis TO-4A 2 36974 04/17/12 02:52 SLD TAL BURTotal/NA
Client Sample ID: AIR2-04132012 Lab Sample ID: 200-10351-2Matrix: AirDate Collected: 04/13/12 08:13
Date Received: 04/14/12 10:00
Prep 3540C 04/14/12 14:01 MLT36889 TAL BUR
Type
Batch Batch
MethodPrep Type LabAnalystRun
Prepared
or Analyzed
Batch
Number
Dilution
Factor
Total/NA
Analysis TO-4A 2 36974 04/17/12 03:17 SLD TAL BURTotal/NA
Client Sample ID: AIR3-04132012 Lab Sample ID: 200-10351-3Matrix: AirDate Collected: 04/13/12 07:44
Date Received: 04/14/12 10:00
Prep 3540C 04/14/12 14:01 MLT36889 TAL BUR
Type
Batch Batch
MethodPrep Type LabAnalystRun
Prepared
or Analyzed
Batch
Number
Dilution
Factor
Total/NA
Analysis TO-4A 1 36974 04/17/12 03:41 SLD TAL BURTotal/NA
Laboratory References:
TAL BUR = TestAmerica Burlington, 30 Community Drive, Suite 11, South Burlington, VT 05403, TEL (802)660-1990
TestAmerica BurlingtonPage 11 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Certification SummaryClient: ARCADIS U.S. Inc TestAmerica Job ID: 200-10351-1
Project/Site: RACER - Central Foundry Massena NY SDG: 200-10351-1
Laboratory Authority Program EPA Region Certification ID
TestAmerica Burlington ADE-1492DoD ELAPACLASS
TestAmerica Burlington PH-0751State ProgramConnecticut 1
TestAmerica Burlington NAState ProgramDE Haz. Subst. Cleanup Act (HSCA) 3
TestAmerica Burlington E87467NELACFlorida 4
TestAmerica Burlington 176292NELACLouisiana 6
TestAmerica Burlington VT00008State ProgramMaine 1
TestAmerica Burlington 050-999-436NELACMinnesota 5
TestAmerica Burlington 200610NELACNew Hampshire 1
TestAmerica Burlington VT972NELACNew Jersey 2
TestAmerica Burlington 10391NELACNew York 2
TestAmerica Burlington 68-00489NELACPennsylvania 3
TestAmerica Burlington LAO00298State ProgramRhode Island 1
TestAmerica Burlington P330-11-00093FederalUSDA
TestAmerica Burlington VT-4000State ProgramVermont 1
TestAmerica Burlington 460209NELACVirginia 3
Accreditation may not be offered or required for all methods and analytes reported in this package. Please contact your project manager for the laboratory's
current list of certified methods and analytes.
TestAmerica BurlingtonPage 12 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Method SummaryTestAmerica Job ID: 200-10351-1Client: ARCADIS U.S. Inc
SDG: 200-10351-1Project/Site: RACER - Central Foundry Massena NY
Method Method Description LaboratoryProtocol
EPATO-4A Pesticides and PCBs in Ambient Air TAL BUR
Protocol References:
EPA = US Environmental Protection Agency
Laboratory References:
TAL BUR = TestAmerica Burlington, 30 Community Drive, Suite 11, South Burlington, VT 05403, TEL (802)660-1990
TestAmerica BurlingtonPage 13 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Sample SummaryTestAmerica Job ID: 200-10351-1Client: ARCADIS U.S. Inc
SDG: 200-10351-1Project/Site: RACER - Central Foundry Massena NY
Lab Sample ID Client Sample ID ReceivedCollectedMatrix
200-10351-1 AIR1-04132012 Air 04/13/12 08:00 04/14/12 10:00
200-10351-2 AIR2-04132012 Air 04/13/12 08:13 04/14/12 10:00
200-10351-3 AIR3-04132012 Air 04/13/12 07:44 04/14/12 10:00
TestAmerica BurlingtonPage 14 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Page 15 of 17
4/17/2012
123456789101112131415
Login Sample Receipt Checklist
Client: ARCADIS U.S. Inc Job Number: 200-10351-1
SDG Number: 200-10351-1
Login Number: 10351
Question Answer Comment
Creator: Kirchner, Benjamin
List Source: TestAmerica Burlington
List Number: 1
N/ARadioactivity either was not measured or, if measured, is at or below
background
Lab does not accept radioactive samples.
TrueThe cooler's custody seal, if present, is intact. 349968, 969
TrueThe cooler or samples do not appear to have been compromised or
tampered with.
FalseSamples were received on ice. Melted ice
TrueCooler Temperature is acceptable.
TrueCooler Temperature is recorded. 7.8ºC, IR GUN ID 154, CF 0
TrueCOC is present.
TrueCOC is filled out in ink and legible.
TrueCOC is filled out with all pertinent information.
TrueIs the Field Sampler's name present on COC?
TrueThere are no discrepancies between the sample IDs on the containers and
the COC.
TrueSamples are received within Holding Time.
TrueSample containers have legible labels.
TrueContainers are not broken or leaking.
TrueSample collection date/times are provided.
TrueAppropriate sample containers are used.
TrueSample bottles are completely filled.
TrueSample Preservation Verified.
TrueThere is sufficient vol. for all requested analyses, incl. any requested
MS/MSDs
N/AVOA sample vials do not have headspace or bubble is <6mm (1/4") in
diameter.
N/AMultiphasic samples are not present.
N/ASamples do not require splitting or compositing.
N/AResidual Chlorine Checked. Check done at department level as required.
TestAmerica BurlingtonPage 16 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Page 17 of 17 4/17/2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15