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This solicitation requests proposals for a roof replacement project on a Federal Aviation Administration facility in King Salmon, Alaska. The contractor will be responsible for furnishing all labor, materials, equipment, insurance, permits, and supervision to perform the work described in the technical specifications and construction drawings. A firm-fixed-price construction contract will be awarded. Proposals are due by March 25, 2020. Questions about the project scope or specifications must be submitted in writing by March 18 to allow time for responses. Offerors must be registered in the System for Award Management and provide the requested forms with their proposals.

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Report Number: 1184591

Client Project: King Salmon VOR

Laboratory Report of Analysis

Dear Jeff Martin, Enclosed are the results of the analytical services performed under the referenced project for the received samples and associated QC as applicable. The samples are certified to meet the requirements of the National

Environmental Laboratory Accreditation Conference Standards. Copies of this report and supporting data will be retained in our files for a period of ten years in the event they are required for future reference. All results are intended to be used in their entirety and SGS is not responsible for use of less than the complete report. Any samples submitted to our laboratory will be retained for a maximum of fourteen (14) days from the date of this report unless other archiving requirements were included in the quote.

If there are any questions about the report or services performed during this project, please call Jillian at (907)

562-2343. We will be happy to answer any questions or concerns which you may have.

Thank you for using SGS North America Inc. for your analytical services. We look forward to working with you again on any additional analytical needs.

Sincerely, SGS North America Inc.

Jillian Vlahovich Date

Project Manager Jillian.Vlahovich@sgs.com

To: Federal Aviation Administration (FAA)

222 W. 7th Ave. #14(AAL471)

Anchorage, AK 995137587

(907)271-2937

Print Date: 09/04/2018 4:44:18PM

Member of SGS Group

SGS North America Inc. 200 West Potter Drive, Anchorage, AK 99518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Case Narrative

SGS Client: Federal Aviation Administration (FAA)

SGS Project: 1184591

Project Name/Site: King Salmon VOR

Project Contact: Jeff Martin

Refer to sample receipt form for information on sample condition.

*QC comments may be associated with the field samples found in this report. When applicable, comments will be applied to associated field samples.

Print Date: 09/04/2018 4:44:19PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive, Anchorage, AK 99518

Laboratory Qualifiers

Enclosed are the analytical results associated with the above work order. All results are intended to be used in their entirety and SGS is not responsible for use of less than the complete report. This document is issued by the Company under its General Conditions of Service accessible at <http://www.sgs.com/en/Terms-and-Conditions.aspx>.

Attention is drawn to the limitation of liability, indenmification and jurisdiction issues defined therein.

Any holder of this document is advised that information contained hereon reflects the Company's findings at the time of its intervention only and within the limits of Client's instructions, if any. The Company's sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. Any unauthorized alteration, forgery or falsification of the context or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law.

SGS maintains a formal Quality Assurance/Quality Control (QA/QC) program. A copy of our Quality Assurance Plan

(QAP), which outlines this program, is available at your request. The laboratory certification numbers are AK00971

(DW Chemistry & Microbiology) & 17-021 (CS) for ADEC and 2944.01 for DOD ELAP/ISO17025 (RCRA methods:

1020B, 1311, 3010A, 3050B, 3520C, 3550C, 5030B, 5035A, 6020A, 7470A, 7471B, 8015C, 8021B, 8082A, 8260C, 8270D, 8270D-SIM, 9040C, 9045D, 9056A, 9060A, AK101 and AK102/103). Except as specifically noted, all statements and data in this report are in conformance to the provisions set forth by the SGS QAP and, when applicable, other regulatory authorities.

The following descriptors or qualifiers may be found in your report:

* The analyte has exceeded allowable regulatory or control limits.

! Surrogate out of control limits.

B Indicates the analyte is found in a blank associated with the sample.

CCV/CVA/CVB Continuing Calibration Verification

CCCV/CVC/CVCA/CVCB Closing Continuing Calibration Verification

CL Control Limit

DF Analytical Dilution Factor

DL Detection Limit (i.e., maximum method detection limit)

E The analyte result is above the calibrated range.

GT Greater Than

IB Instrument Blank

ICV Initial Calibration Verification

J The quantitation is an estimation.

LCS(D) Laboratory Control Spike (Duplicate)

LLQC/LLIQC Low Level Quantitation Check

LOD Limit of Detection (i.e., 1/2 of the LOQ)

LOQ Limit of Quantitation (i.e., reporting or practical quantitation limit)

LT Less Than

MB Method Blank

MS(D) Matrix Spike (Duplicate)

ND Indicates the analyte is not detected.

RPD Relative Percent Difference

U Indicates the analyte was analyzed for but not detected.

Note: Sample summaries which include a result for "Total Solids" have already been adjusted for moisture content.

All DRO/RRO analyses are integrated per SOP.

Print Date: 09/04/2018 4:44:21PM

Member of SGS Group

SGS North America Inc. 200 West Potter Drive, Anchorage, AK 99518 t 907.562.2343 f 907.561.5301 www.us.sgs.com http://www.sgs.com/terms_and_conditions.htm http://www.sgs.com/terms_and_conditions.htm

Sample Summary

Client Sample ID Lab Sample ID Collected Received Matrix

EPDM 1184591001 08/15/2018 08/17/2018 Solid/Soil (Wet Weight)

EPDM Adhesive 1184591002 08/15/2018 08/17/2018 Solid/Soil (Wet Weight)

Terne Metal Paint 1184591003 08/15/2018 08/17/2018 Solid/Soil (Wet Weight)

UST Vent Pipe Paint 1184591004 08/15/2018 08/17/2018 Solid/Soil (Wet Weight)

2x12/ Soffit Paint 1184591005 08/15/2018 08/17/2018 Solid/Soil (Wet Weight)

Equip. Room Paint 1184591006 08/15/2018 08/17/2018 Solid/Soil (Wet Weight)

Soil-Front-3" 1184591007 08/15/2018 08/17/2018 Soil/Solid (dry weight)

Soil-Front-6" 1184591008 08/15/2018 08/17/2018 Soil/Solid (dry weight)

Soil-Back-3" 1184591009 08/15/2018 08/17/2018 Soil/Solid (dry weight)

Soil-Back-6" 1184591010 08/15/2018 08/17/2018 Soil/Solid (dry weight)

Method DescriptionMethod

Lead in Paint by ICP-MSSW6020A

Metals by ICP-MS (S)SW6020A

Percent Solids SM2540GSM21 2540G

Print Date: 09/04/2018 4:44:22PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive, Anchorage, AK 99518

Detectable Results Summary

Client Sample ID: EPDM

Lab Sample ID: 1184591001 UnitsParameter Result

Lead mg/Kg9.56Metals by ICP/MS

Client Sample ID: EPDM Adhesive

Lab Sample ID: 1184591002 UnitsParameter Result

Lead mg/Kg157Metals by ICP/MS

Client Sample ID: Terne Metal Paint

Lab Sample ID: 1184591003 UnitsParameter Result

Lead mg/Kg222000Metals by ICP/MS

Client Sample ID: UST Vent Pipe Paint

Lab Sample ID: 1184591004 UnitsParameter Result

Lead mg/Kg29.7Metals by ICP/MS

Client Sample ID: 2x12/ Soffit Paint

Lab Sample ID: 1184591005 UnitsParameter Result

Lead mg/Kg146000Metals by ICP/MS

Client Sample ID: Equip. Room Paint

Lab Sample ID: 1184591006 UnitsParameter Result

Lead mg/Kg2.53Metals by ICP/MS

Client Sample ID: Soil-Front-3"

Lab Sample ID: 1184591007 UnitsParameter Result

Lead mg/Kg195Metals by ICP/MS

Client Sample ID: Soil-Front-6"

Lab Sample ID: 1184591008 UnitsParameter Result

Lead mg/Kg131Metals by ICP/MS

Client Sample ID: Soil-Back-3"

Lab Sample ID: 1184591009 UnitsParameter Result

Lead mg/Kg89.9Metals by ICP/MS

Client Sample ID: Soil-Back-6"

Lab Sample ID: 1184591010 UnitsParameter Result

Lead mg/Kg23.7Metals by ICP/MS

Print Date: 09/04/2018 4:44:23PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive, Anchorage, AK 99518

Client Sample ID: EPDM

Client Project ID: King Salmon VOR

Lab Sample ID: 1184591001

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Solid/Soil (Wet Weight)

Solids (%):

Results by Metals by ICP/MS

Results of EPDM

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 9.56 mg/Kg 500.947 0.294 08/29/18 00:29

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 1.056 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10294

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 08/29/18 00:29

Container ID: 1184591001-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

J flagging is activated

Client Sample ID: EPDM Adhesive

Lab Sample ID: 1184591002

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Solid/Soil (Wet Weight)

Solids (%):

Results by Metals by ICP/MS

Results of EPDM Adhesive

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 157 mg/Kg 500.966 0.300 08/29/18 00:33

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 1.035 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10294

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 08/29/18 00:33

Container ID: 1184591002-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Client Sample ID: Terne Metal Paint

Lab Sample ID: 1184591003

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Solid/Soil (Wet Weight)

Solids (%):

Results by Metals by ICP/MS

Results of Terne Metal Paint

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 222000 mg/Kg 2000367 114 09/01/18 02:27

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 0.109 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10298

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 09/01/18 02:27

Container ID: 1184591003-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Client Sample ID: UST Vent Pipe Paint

Lab Sample ID: 1184591004

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Solid/Soil (Wet Weight)

Solids (%):

Results by Metals by ICP/MS

Results of UST Vent Pipe Paint

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 29.7 mg/Kg 5010.0 3.10 08/29/18 00:43

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 0.1 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10294

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 08/29/18 00:43

Container ID: 1184591004-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Client Sample ID: 2x12/ Soffit Paint

Lab Sample ID: 1184591005

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Solid/Soil (Wet Weight)

Solids (%):

Results by Metals by ICP/MS

Results of 2x12/ Soffit Paint

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 146000 mg/Kg 2000364 113 09/01/18 02:32

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 0.11 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10298

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 09/01/18 02:32

Container ID: 1184591005-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Client Sample ID: Equip. Room Paint

Lab Sample ID: 1184591006

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Solid/Soil (Wet Weight)

Solids (%):

Results by Metals by ICP/MS

Results of Equip. Room Paint

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 2.53 mg/Kg 500.984 0.305 08/29/18 01:02

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 1.016 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10294

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 08/29/18 01:02

Container ID: 1184591006-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Client Sample ID: Soil-Front-3"

Lab Sample ID: 1184591007

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Soil/Solid (dry weight)

Solids (%):82.9

Results by Metals by ICP/MS

Results of Soil-Front-3"

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 195 mg/Kg 501.19 0.367 08/29/18 01:06

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 1.018 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10294

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 08/29/18 01:06

Container ID: 1184591007-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Client Sample ID: Soil-Front-6"

Lab Sample ID: 1184591008

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Soil/Solid (dry weight)

Solids (%):85.8

Results by Metals by ICP/MS

Results of Soil-Front-6"

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 131 mg/Kg 501.13 0.351 08/29/18 01:11

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 1.03 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10294

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 08/29/18 01:11

Container ID: 1184591008-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Client Sample ID: Soil-Back-3"

Lab Sample ID: 1184591009

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Soil/Solid (dry weight)

Solids (%):84.4

Results by Metals by ICP/MS

Results of Soil-Back-3"

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 89.9 mg/Kg 501.16 0.359 08/29/18 01:16

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 1.022 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10294

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 08/29/18 01:16

Container ID: 1184591009-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Client Sample ID: Soil-Back-6"

Lab Sample ID: 1184591010

Lab Project ID: 1184591

Collection Date: 08/15/18 12:00

Received Date: 08/17/18 17:34

Matrix: Soil/Solid (dry weight)

Solids (%):86.7

Results by Metals by ICP/MS

Results of Soil-Back-6"

Location:

Date AnalyzedParameter DFUnitsResult LOQ/CL DL Allowable

LimitsQual

Lead 23.7 mg/Kg 501.09 0.339 08/29/18 01:20

Batch Information

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/18 11:21

Prep Initial Wt./Vol.: 1.054 g

Prep Extract Vol: 50 mL

Analytical Batch: MMS10294

Analytical Method: SW6020A

Analyst: DSH

Analytical Date/Time: 08/29/18 01:20

Container ID: 1184591010-A

Print Date: 09/04/2018 4:44:25PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 t 907.562.2343 f 907.561.5301 www.us.sgs.com

Blank ID: MB for HBN 1784620 [MXX/31861]

Blank Lab ID: 1468874

QC for Samples:

1184591001, 1184591002, 1184591003, 1184591004, 1184591005, 1184591006, 1184591007, 1184591008, 1184591009, 1184591010

Matrix: Soil/Solid (dry weight)

Results by SW6020A

DL UnitsLOQ/CLResultsParameter

Method Blank

Lead 0.200 mg/Kg0.06200.100U

Batch Information

Analytical Batch: MMS10294

Analytical Method: SW6020A

Instrument: Perkin Elmer NexIon P5

Analyst: DSH

Analytical Date/Time: 8/28/2018 11:04:39PM

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 8/21/2018 11:21:57AM

Prep Initial Wt./Vol.: 1 g

Prep Extract Vol: 50 mL

Print Date: 09/04/2018 4:44:26PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518

Blank Spike ID: LCS for HBN 1184591 [MXX31861]

Blank Spike Lab ID: 1468875

Date Analyzed: 08/28/2018 23:09

Results by SW6020A

Blank Spike Summary

Matrix: Soil/Solid (dry weight)

Parameter Spike Rec (%) CL

Blank Spike (mg/Kg)

QC for Samples: 1184591001, 1184591002, 1184591003, 1184591004, 1184591005, 1184591006, 1184591007, 1184591008, 1184591009, 1184591010

Result

Lead 50 110 ( 84-118 )55.1

Batch Information

Analytical Batch: MMS10294

Analytical Method: SW6020A

Instrument: Perkin Elmer NexIon P5

Analyst: DSH

Prep Batch: MXX31861

Prep Method: SW3050B

Prep Date/Time: 08/21/2018 11:21

Spike Init Wt./Vol.: 50 mg/Kg Extract Vol: 50 mL

Dupe Init Wt./Vol.: Extract Vol:

Print Date: 09/04/2018 4:44:27PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518

Original Sample ID: 1468876

MS Sample ID: 1468878 MS

MSD Sample ID: 1468879 MSD

Analysis Date: 08/28/2018 23:14

Analysis Date: 08/28/2018 23:18

Analysis Date: 08/28/2018 23:23

Matrix: Solid/Soil (Wet Weight)

Results by SW6020A

Matrix Spike (mg/Kg) Spike Duplicate (mg/Kg)

QC for Samples:

Parameter SpikeSample Rec (%) Spike Rec (%) CL RPD (%)

1184591001, 1184591002, 1184591003, 1184591004, 1184591005, 1184591006, 1184591007, 1184591008, 1184591009, 1184591010

Matrix Spike Summary

RPD CLResult Result

Lead 47.92.99 108 46.9 110 84-118 0.92 (< 20 )54.9 54.4

Batch Information

Prep Batch: MXX31861

Prep Method: Soils/Solids Digest for Metals by ICP-MS

Prep Date/Time: 8/21/2018 11:21:57AM

Prep Initial Wt./Vol.: 1.04g

Prep Extract Vol: 50.00mL

Analytical Batch: MMS10294

Analytical Method: SW6020A

Instrument: Perkin Elmer NexIon P5

Analyst: DSH

Analytical Date/Time: 8/28/2018 11:18:45PM

Print Date: 09/04/2018 4:44:28PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518

Blank ID: MB for HBN 1784600 [SPT/10585]

Blank Lab ID: 1468756

QC for Samples:

1184591007, 1184591008, 1184591009, 1184591010

Matrix: Soil/Solid (dry weight)

Results by SM21 2540G

DL UnitsLOQ/CLResultsParameter

Method Blank

Total Solids %100

Batch Information

Analytical Batch: SPT10585

Analytical Method: SM21 2540G

Instrument:

Analyst: E.M

Analytical Date/Time: 8/20/2018 5:07:00PM

Print Date: 09/04/2018 4:44:29PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518

Original Sample ID: 1184602001

Duplicate Sample ID: 1468757

Analysis Date: 08/20/2018 17:07

Matrix: Soil/Solid (dry weight)

Results by SM21 2540G

Duplicate Sample Summary

QC for Samples:

RPD (%)DuplicateOriginalNAME Units RPD CL

1184591007, 1184591008, 1184591009, 1184591010

0.5382.081.6Total Solids % (< 15 )

Analytical Batch: SPT10585

Analytical Method: SM21 2540G

Instrument:

Analyst: E.M

Batch Information

Print Date: 09/04/2018 4:44:30PM

Member of SGS Group

SGS North America Inc.

200 West Potter Drive Anchorage, AK 95518 e-Sample Receipt Form

Were proper containers (type/mass/volume/preservative***)used?

Additional notes (if applicable):

Note to Client: Any "No", answer above indicates non-compliance with standard procedures and may impact data quality.

Were all water VOA vials free of headspace (i.e., bubbles ≤ 6mm)?

Note: Identify containers received at non-compliant temperature .

Use form FS-0029 if more space is needed.

Were all soil VOAs field extracted with MeOH+BFB?

yes

***Exemption permitted for metals (e.g,200.8/6020A).

°C Therm. ID:

yes n/a

Do samples match COC** (i.e.,sample IDs,dates/times collected)? yes

**Note: If times differ <1hr, record details & login per COC.

Cooler ID:

Cooler ID:

n/aWere Trip Blanks (i.e., VOAs, LL-Hg) in cooler with samples?

Volatile / LL-Hg Requirements

If samples received without a temperature blank, the "cooler temperature" will be documented in lieu of the temperature blank &

"COOLER TEMP" will be noted to the right. In cases where neither a temp blank nor cooler temp can be obtained, note "ambient" or

"chilled".

°C Therm. ID:

Cooler ID:

*If >6°C, were samples collected <8 hours ago?

Therm. ID:°C n/a

If <0°C, were sample containers ice free?

Holding Time / Documentation / Sample Condition Requirements n/a

Were analyses requested unambiguous? (i.e., method is specified for analyses with >1 option for analysis) n/a

Were samples received within holding time?

Note: Refer to form F-083 "Sample Guide" for specific holding times.

yes

Temperature blank compliant* (i.e., 0-6 °C after CF)?

@n/a n/a

@ Therm. ID:

Cooler ID: °C

°C Therm. ID:

yes

Condition (Yes, No, N/A)

COC accompanied samples? yes

**Exemption permitted if chilled & collected <8 hours ago, or for samples where chilling is not required

Cooler ID:

Exceptions Noted below

SGS Workorder #: 1184591 1184591 Exemption permitted if sampler hand carries/delivers.yes

Were Custody Seals intact? Note # & location

Review Criteria hand delivered

Chain of Custody / Temperature Requirements n/a

F102b_SRFpm_20180072725 of 26

SGS logo new.gif

Sample Containers and Preservatives

Container Id Preservative Container

Condition

Container Id Container

Condition

Preservative

1184591001-A No Preservative Required OK

1184591002-A No Preservative Required OK

1184591003-A No Preservative Required OK

1184591004-A No Preservative Required OK

1184591005-A No Preservative Required OK

1184591006-A No Preservative Required OK

1184591007-A No Preservative Required OK

1184591008-A No Preservative Required OK

1184591009-A No Preservative Required OK

1184591010-A No Preservative Required OK

Container Condition Glossary

Containers for bacteriological, low level mercury and VOA vials are not opened prior to analysis and will be assigned condition code OK unless evidence indicates than an inappropriate container was submitted.

OK - The container was received at an acceptable pH for the analysis requested.

BU - The container was received with headspace greater than 6mm.

DM - The container was received damaged.

FR - The container was received frozen and not usable for Bacteria or BOD analyses.

IC - The container provided for microbiology analysis was not a laboratory-supplied, pre-sterilized container and therefore was not suitable for analysis.

PA - The container was received outside of the acceptable pH for the analysis requested. Preservative was added upon receipt and the container is now at the correct pH. See the Sample Receipt Form for details on the amount and lot # of the preservative added.

PH - The container was received outside of the acceptable pH for the analysis requested. Preservative was added upon receipt, but was insufficient to bring the container to the correct pH for the analysis requested. See the Sample Receipt Form for details on the amount and lot # of the preservative added.

8/17/2018

Case Narrative
Glossary
Sample Summary Forms
Detectable Results Forms
Sample Results Forms
Batch QC
SW6020A
MXX31861
Method Blanks
Laboratory Control Samples
Matrix Spikes
SM21 2540G
SPT10585
Method Blanks
Duplicates

Chain of Custody / Sample Receipt Forms

2018-09-05T11:05:58-0800
Jillian Vlahovich

File details come from the government source that posted it. Updated .