CHAIN OF CUSTODY | TRACE & SHALE - SGS/media/Local/USA/Documents...SS ENVIRONMENTAL SERVICES TRACE...
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SGS ENVIRONMENTAL SERVICES TRACE LABORATORY 5500 Business Drive Wilmington, NC 28405 910 350 1903 | 910 794 1613 www.sgs.com Member of the SGS Group (SGS SA) CHAIN OF CUSTODY Page _____ of _____ COLLECTED/RELINQUISHED BY (1): DATE: TIME: RECEIVED BY: RECEIVED BY LABORATORY: DATE: TIME: COC SEAL: INTACT BROKEN ABSENT RELINQUISHED BY (2): DATE: TIME: RECEIVED BY: SAMPLE RECEIPT TEMP: O C CARRIER: TRACKING #: NOTES: PRESERVATIVE REMARKS ANALYSIS & METHOD LAB ID SAMPLE ID / DESCRIPTION DATE TIME QC TYPE (C, G) MATRIX CONT. QTY MS MSD DUP SPECIAL INSTRUCTIONS / COMMENTS: PROJECT INFO: PROJECT: P.O. #: QUOTE #: SITE REF: TURN AROUND TIME: REPORT LEVEL: (see reverse) Level I Level II Level IV SPECIAL DELIVERABLES: State of Origin: EDD: DoD: Other: | TRACE & SHALE SEND DOCUMENTATION / RESULTS TO: COMPANY: CONTACT: ADDRESS: PHONE: EMAIL: INVOICE TO: ( CHECK IF SAME) COMPANY: CONTACT: ADDRESS: PHONE: EMAIL:
Transcript of CHAIN OF CUSTODY | TRACE & SHALE - SGS/media/Local/USA/Documents...SS ENVIRONMENTAL SERVICES TRACE...
SGS ENVIRONMENTAL SERVICES TRACE LABORATORY 5500 Business Drive Wilmington, NC 28405 910 350 1903 | 910 794 1613 www.sgs.com
Member of the SGS Group (SGS SA)
CHAIN OF CUSTODY
Page _____ of _____
COLLECTED/RELINQUISHED BY (1): DATE: TIME: RECEIVED BY: RECEIVED BY LABORATORY: DATE: TIME:
COC SEAL: INTACT BROKEN ABSENT
RELINQUISHED BY (2): DATE: TIME: RECEIVED BY: SAMPLE RECEIPT TEMP: OC
CARRIER: TRACKING #:
NOTES:
PRESERVATIVE
REMARKS
ANALYSIS & METHOD
LAB ID SAMPLE ID / DESCRIPTION DATE TIME
QC TYPE
(C, G) MATRIX
CONT.
QTYMS MSD DUP
SPECIAL INSTRUCTIONS / COMMENTS:PROJECT INFO:PROJECT:
P.O. #:
QUOTE #:
SITE REF:
TURN AROUND TIME:
REPORT LEVEL: (see reverse) Level I Level II Level IV
SPECIAL DELIVERABLES: State of Origin:
EDD: DoD:
Other:
| TRACE & SHALESEND DOCUMENTATION / RESULTS TO:COMPANY:
CONTACT:
ADDRESS:
PHONE:
EMAIL:
INVOICE TO: ( CHECK IF SAME)
COMPANY: CONTACT:
ADDRESS:
PHONE:
EMAIL:
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SAMPLE ACCEPTANCE POLICY
The Sample Acceptance Policy is a NELAC requirement that outlines the circumstances under which samples are accepted or rejected. Data from any samples that do not meet the following criteria are qualified in a manner that clearly defines the nature and substance of the variation. The most relevant ones are captured on the sample receipt login form.
The following information should be provided, at minimum, as well as other areas of concern:• Sample identification, date/time and location of collection• Preservation type• Collector’s name
• Sample type• Unique ID (indelible ink) on the water-resistant container
label• Use of appropriate containers (Teflon®-lined top glass
amber or protected from light)• Adherence to specified holding times• Adequate sample volume (enough for a repeat analysis)
When samples are received in condition that could possibly alter the sample integrity including some of the above requirements, SGS will contact the client for resolution of the issues. Generally, SGS will assess the sample condition and offer an opinion on the suitability of the samples submitted for analysis.
Please note that samples will be disposed of 90 days following the issuance of a report unless an archiving request is noted. If samples are archived charges may be assessed after 90 days in the freezer or 12 months in cold storage.
NELAC REQUIREMENTS
Under NELAC, we are required to inform our clients who request analyses by SW846 methodology that either a matrix spike (MS)/matrix spike duplicate (MSD) set, or a MS/sample duplicate (DUP) set be analyzed with each prep batch. The samples chosen for this purpose must be clearly identified on the documentation accompanying the samples.
Our COC is modified so that this identification can be made easily. Indicate by marking “yes” or ‘X” in the box next to samples which require MS/MSD and/or sample duplicate tests. THESE QC SAMPLES ARE BILLABLE AT THE UNIT RATE.
SGS will provide batch QC for any projects that DO NOT provide the necessary sample volumes if at all possible. SGS will narrate any projects that do not have the required matrix spike (MS)/matrix spike duplicate (MSD) set, or a MS/sample duplicate (DUP) set.
Thank you for your attention and cooperation.
SECTION CONTENTS I II IVG
ENER
AL
BA
CKG
ROU
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Cover Page with a Glossary of Qualifiers
X X X
Signature Page Authorizing the Release of the Report
X X X
Case Narrative TBD X X
Chain of Custody Records X X X
Sample Receipt Form Change Orders Email Correspondence
X
AN
ALY
TICA
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RESU
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Result Forms with Surrogate Recoveries
X X X
QC Report (Method Blanks, LCS/LCSD, MS/MSD, Leachate Blanks)
X X
SECT
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Raw Data including Chromatograms for Samples & QC
X
All Analytical Data Including Prep Sheets & Run Logs
X
Initial Calibration & Continuing Calibration Data
X
CONVENTIONAL REPORTS TERMS & CONDITIONS
All services are rendered in accordance with the applicable SGS General Conditions of Service accessible via:
http://www.sgs.com/terms_and_conditions.htm
CONTACTS
SGS ENVIRONMENTAL SERVICESTRACE LABORATORY5500 Business Drive, Wilmington, NC 28405Phone: +1 910 350 1903 | +1 910 794 1613Toll Free: +1 866 846 8290Fax: +1 910 350 [email protected]
Operations
Phillip Hanna, PhD, Vice President [email protected]
Technical
Bryan Vining, PhD, Director [email protected]
Quality Assurance
Jeannie Milholland, Officer [email protected]
Project Delivery
Randy Wright, Manager [email protected] Page, Manager [email protected]
