AKN VOR Lead Result 180823 (SGS).pdf
PDF 1 MB Posted
- Solicitation number
- 6973GH-20-R-00061
About this file
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.
View the file
Other files
Show all 15
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
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 .