J22654-1_Sample_Report_(2_of_2).pdf
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RSR011 TESTAMERICA LABORATORIES, INC.TESTAMERICA LABORATORIES, INC. Run Date: 7/03/13 SAMPLE CONFIRMATION REPORTSAMPLE CONFIRMATION REPORT Page : 1
Time : 21:58:26 The following samples have been received by TestAmerica Laboratories, Inc. at Knoxville, Tennessee. Please verify that the sample ID's and the requested tests are correct. Contact the TestAmerica project manager listed below to resolve any discrepancies.
Report to:Report to: Bill to:Bill to:
Carrie Gamber TestAmerica Pittsburgh TestAmerica Pittsburgh TestAmerica Pittsburgh 301 Alpha Drive 301 Alpha Drive Pittsburgh, PA15238 Pittsburgh, PA 15238
Client______Client TestAmericaTestAmerica Project : Newark Bay - Upland 33-061 Date Rec: 7/03/13 Number : 180-22654-1 Quote No: 090794 Manager : Carrie Gamber Manager : Ryan Henry
Due Dates_________Due Dates Preliminary: 7/24/13 Hard Copy : 7/25/13 Analytical TAT: 21
Client ID:Client ID: #20130940 AMENDED COMP A#20130940 AMENDED COMP A Date Sampled: 6/21/13 Time Sampled: 10:55 LAB ID: H3G030435-001 Matrix: WATER
Parameter________________________________________ Method____________________ Rep___ WATER, 1613B, Dioxins/Furans (SPLP) EPA-5 1613B
Client ID:Client ID: #20130943 AMENDED COMP D#20130943 AMENDED COMP D Date Sampled: 6/21/13 Time Sampled: 12:15 LAB ID: H3G030435-002 Matrix: WATER
Parameter________________________________________ Method____________________ Rep___ WATER, 1613B, Dioxins/Furans (SPLP) EPA-5 1613B
Client ID:Client ID: #20130944 AMENDED COMP E#20130944 AMENDED COMP E Date Sampled: 6/21/13 Time Sampled: 13:30 LAB ID: H3G030435-003 Matrix: WATER
Parameter________________________________________ Method____________________ Rep___ WATER, 1613B, Dioxins/Furans (SPLP) EPA-5 1613B
Client ID:Client ID: #20130946 AMENDED COMP G#20130946 AMENDED COMP G Date Sampled: 6/24/13 Time Sampled: 13:25 LAB ID: H3G030435-004 Matrix: WATER
Parameter________________________________________ Method____________________ Rep___ WATER, 1613B, Dioxins/Furans (SPLP) EPA-5 1613B
Client ID:Client ID: #20130949 AMENDED COMP J#20130949 AMENDED COMP J Date Sampled: 6/24/13 Time Sampled: 14:55 LAB ID: H3G030435-005 Matrix: WATER
Parameter________________________________________ Method____________________ Rep___
TestAmerica Laboratories, Inc.Page 5512 of 5517
RSR011 TESTAMERICA LABORATORIES, INC.TESTAMERICA LABORATORIES, INC. Run Date: 7/03/13 SAMPLE CONFIRMATION REPORTSAMPLE CONFIRMATION REPORT Page : 2
Time : 21:58:26 Client______Client TestAmericaTestAmerica Project : Newark Bay - Upland 33-061 Date Rec: 7/03/13 Number : 180-22654-1 Quote No: 090794 Manager : Carrie Gamber Manager : Ryan Henry
Due Dates_________Due Dates Preliminary: 7/24/13 Hard Copy : 7/25/13 Analytical TAT: 21
Client ID:Client ID: #20130949 AMENDED COMP J#20130949 AMENDED COMP J Date Sampled: 6/24/13 Time Sampled: 14:55 LAB ID: H3G030435-005 Matrix: WATER
Parameter________________________________________ Method____________________ Rep___
* Continued*
WATER, 1613B, Dioxins/Furans (SPLP) EPA-5 1613B
Client ID:Client ID: #20130955 AMENDED COMP P#20130955 AMENDED COMP P Date Sampled: 6/25/13 Time Sampled: 11:05 LAB ID: H3G030435-006 Matrix: WATER
Parameter________________________________________ Method____________________ Rep___ WATER, 1613B, Dioxins/Furans (SPLP) EPA-5 1613B
Client ID:Client ID: #20130959 AMENDED COMP T#20130959 AMENDED COMP T Date Sampled: 6/25/13 Time Sampled: 12:45 LAB ID: H3G030435-007 Matrix: WATER
Parameter________________________________________ Method____________________ Rep___ WATER, 1613B, Dioxins/Furans (SPLP) EPA-5 1613B
Client ID:Client ID: LB 180-76329/8-ALB 180-76329/8-A Date Sampled: 6/25/13 Time Sampled: :00 LAB ID: H3G030435-008 Matrix: WATER
Parameter________________________________________ Method____________________ Rep___ WATER, 1613B, SPLP Blank EPA-5 1613B
TestAmerica Laboratories, Inc.Page 5513 of 5517
Login Sample Receipt Checklist
Client: Battelle Job Number: 180-22654-1
Login Number: 22654
Question Answer Comment
Creator: Skowronek, Elyse N
List Source: TestAmerica Pittsburgh
List Number: 1
N/ARadioactivity wasn't checked or is </= background as measured by a survey meter.
TrueThe cooler's custody seal, if present, is intact.
TrueSample custody seals, if present, are intact.
TrueThe cooler or samples do not appear to have been compromised or tampered with.
TrueSamples were received on ice.
FalseCooler Temperature is acceptable.
TrueCooler Temperature is recorded.
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 containers received 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/AContainers requiring zero headspace have no headspace or bubble is
<6mm (1/4").
N/AMultiphasic samples are not present.
N/ASamples do not require splitting or compositing.
N/AResidual Chlorine Checked.
TestAmerica Pittsburgh Page 5517 of 5517
| Cover Title Page |
| Table of Contents |
| Data Summaries |
| Report Narrative |
| Manual Integration Summary |
| Sample Summary |
| Executive Summary |
| Method Summary |
| Method / Analyst Summary |
| Sample Datasheets |
| Surrogate Summary |
| QC Data Summary |
| Data Qualifiers |
| QC Association Summary |
| Lab Chronicle |
| Reagent Traceability |
| COAs |
Certification Summary
| Organic Sample Data |
| GC/MS VOA |
| Method 8260B |
| Method 8260B QC Summary |
| Method 8260B Sample Data |
| Standards Data |
| Method 8260B ICAL Data |
| Method 8260B CCAL Data |
| Raw QC Data |
| Method 8260B Tune Data |
| Method 8260B Blank Data |
| Method 8260B LCS/LCSD Data |
| Method 8260B MS/MSD Data |
| Method 8260B Run Logs |
| Method 8260B Prep Data |
| GC/MS Semi VOA |
| Method 8270C |
| Method 8270C QC Summary |
| Method 8270C Sample Data |
| Standards Data |
| Method 8270C ICAL Data |
| Method 8270C CCAL Data |
| Raw QC Data |
| Method 8270C Tune Data |
| Method 8270C Blank Data |
| Method 8270C LCS/LCSD Data |
| Method 8270C MS/MSD Data |
| Method 8270C Run Logs |
| Method 8270C Prep Data |
| GC Semi VOA |
| Method 8081A |
| Method 8081A QC Summary |
| Method 8081A Sample Data |
| Standards Data |
| Method 8081A ICAL Data |
| Method 8081A PEM Data |
| Method 8081A CCAL Data |
| Raw QC Data |
| Method 8081A Blank Data |
| Method 8081A LCS/LCSD Data |
| Method 8081A MS/MSD Data |
| Method 8081A Run Logs |
| Method 8081A Prep Data |
| Method 8082 |
| Method 8082 QC Summary |
| Method 8082 Sample Data |
| Standards Data |
| Method 8082 ICAL Data |
| Method 8082 CCAL Data |
| Raw QC Data |
| Method 8082 Blank Data |
| Method 8082 LCS/LCSD Data |
| Method 8082 MS/MSD Data |
| Method 8082 Run Logs |
| Method 8082 Prep Data |
| Method 8151A |
| Method 8151A QC Summary |
| Method 8151A Sample Data |
| Standards Data |
| Method 8151A ICAL Data |
| Method 8151A CCAL Data |
| Raw QC Data |
| Method 8151A Blank Data |
| Method 8151A LCS/LCSD Data |
| Method 8151A MS/MSD Data |
| Method 8151A Run Logs |
| Method 8151A Prep Data |
| Inorganic Sample Data |
| Metals Data |
| Met Cover Page |
| Met Sample Data |
| Met QC Data |
| Met ICV/CCV |
| Met CRQL |
| Met Blanks |
| Met ICSA/ICSAB |
| Met MS/MSD/PDS |
| Met LCS/LCSD |
| Met Serial Dilution |
| Met MDL |
| Met IECF |
| Met Linear Ranges |
| Met Preparation Log |
| Met Analysis Run Log |
| Met Raw Data |
| Met Prep Data |
| General Chemistry Data |
| Gen Chem Cover Page |
| Gen Chem Sample Data |
| Gen Chem QC Data |
| Gen Chem ICV/CCV |
| Gen Chem Blanks |
| Gen Chem MS/MSD/PDS |
| Gen Chem Duplicates |
| Gen Chem LCS/LCSD |
| Gen Chem MDL |
| Gen Chem Preparation Log |
| Gen Chem Analysis Run Log |
| Gen Chem Raw Data |
| Gen Chem Prep Data |
| Subcontracted Data |
| Shipping and Receiving Documents |
| Client Chain of Custody |
| Sample Receipt Checklist |
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