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Supporting Documentation · Nov 14, 2024

04_AECOM_Environmental Report_Final

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EUROFINS KNOXVILLE SAMPLE RECEIPT/CONDITION UPON RECEIPT ANOMALY CHECKLIST Log In Number: x a Ss g 6 re) Review Items Yes Xa xa__| Jf No, what was the problem? Comments/Actions Taken |. Are the shipping containers intact? o Containers, Broken 2. Were ambient air containers received intact? O Checked in lab 3. The coolers/containers custody seal if present, is it intact? Ql Yes O NA [ 4. is the cooler temperature within limits? (> freezing temp. of water to 6 °C, VOST: 10°C) Thermometer 1D: $¢7U Correction factor: +... . CO Covler Out of Temp, Client Contacted, Proceed/Cancel O Coaler Out of Temp, Same Day Receipt 5, Were all of the sample containers received intact? O Containors, Broken 6, Were samples received in appropriate containers? O Containers, Improper; Clicnt Contacted; Procecd/Cancel 7. Do sample container labels match COC? (IDs, Dates, Times} oZgoc & Samples Do Not Match COC Incorrect/Incomplete DO COC Not Received | 8. Were all of the samples listed on the COC received? D Sample Received, Not on COC O Sampte on COC, Not Received | 9. Is the date/time of sample collection noted? O COC; No Date/Time; Client Contacted 10. Was the sampler identified on the COG? 0 Sampler Not Listed on COC 11, Is the client and project name/# identified? O COC Incorrect/lncomplete 12. Are tests/parameters listed for each sample? O COC No tests on COC | Labeling Verified by: Date: DH fest strip lot number: Page 42 of 42 13. Is the matrix of the samples noted? O COC Incorrect/Incomplete_ 14, Was COC relinquished? (Signed/Dated/Timed) O COC Incorrect/Incomplete Box 164: pH Preservation 15. Were samples received within holding time? O Holding Time - Receipt 16. Were samples reccived with correct chemical preservative (excluding Encore)? O pH Adjusted, pH Included (Sce box 16A) O Incorrect Preservative 17. Were VOA samples received without headspace? O Headspace (VOA only) | 18, you check for residual chlorine, if necessury? (eg, 1613B, 1668) Chlorine test strip lot number: O Residual Chlorine 19. For 1613B water samples is pH<9? G lfno, notify jab to adjust 20. For rad samples was sample activity info. Provided? O Project missing info Preservative: ‘Lot Number: Exp Date: Analyst: P; PM Instructions: Sample Receiving Associat — Shree Date:_Y-q-AH QA026R33,due, 11/10/23

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