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ecology and environment, inc.International Specialists in the Environment
131 Peninsula Street, Suite BWheeling, West Virginia 26003Tel:(304)231-1176, Fax:(304)231-0920
SDMSDoc.0
Date: September 05, 2003
Ms. Betty JefferyRPOCUSEPA Region III ,Environmental Science Center701 MapesRoadFort Meade, MD 20755-5250
Re: Chain of Custody Records for Big John Salvage Hoult Road-Tar Seep Site, Case No32129
Dear Ms. Jeffery,
Enclosed, please find the Region Copy of the chain of custody records for the above referencedsite for shipment dated 9/5/03. If you have any questions, please contact me at (304) 769-0085
Thanks'!>
V
Younus BurhanSTART Project Manager
CC: Site FileDeliverable File
recycled paper
AR115282
Region 3 Laboratory Assignment NotificationShipweek 09/01/03
case# 32129 RASCASE No. CT1915Site: BIG JOHN'S HOULT RD
Sampler: Suddha Graves, Ecology & Environment, Inc.
Program Lab Address
ILM05.2 Bonner Analytical Testing Co. (BONNER)ICP-AES 2703 Oak Grove Road
Hattiesburg, MS 39402(601)264-2854
Contact: Chris Bonner
Samples Scheduled:6 Water ICP Metals/HG
Turnaround Time14
OLM04.3 Ceimic Corporation (CEIMIC)10 Dean Knauss Dr.Narragansett, Rl 02882(401)782-8900
Contact: Ryan Montalbano
Samples Scheduled:1 Water VOA6 Water VOA/BNA/PEST
Turnaround Time1414
Key
Ag - Silver SNA - Semivoaltiles Cu - CopperAl - Aluminum Ca - Calcium Fe - IronSb - Antimony Cd - Cadmium Hg - MercuryAs - Arsenic CN - Cyanide K - PotassiumBa - Barium Co - Cobalt Mg - MagnesiumBe - Beryllium Cr- Chromium Mn - Manganese
ICP Metals - TAL Metals without Mercury (Hg)Filtered - Samples have been filtered in the field
Na - SodiumNi - NickelPb - LeadPEST - PesticidesPR - Preliminary Results
Se - SeleniumTl- ThalliumV - VanadiumVOA - VolatilesZn - Zinc
ILM04.1 AnalysesTM - Total Metals CN - CyanideDM - Dissolved Metals
cJL
C
AR115283
** CDA USEPA Contract Laboratory Program^St—* r^ Organic Traffic Report & Chain of Custody Record
Date Shipped: 9/5/2003
Carrier Name: FedEx
Airbill: 828048990079
Shipped to: Ceimic Corporation10 Dean Knauss DriveNarragansett Rl 02882(401)782-8900
Chain of Custody Record
Relinquished By (Date / Time)
1 ;Q,Vl6 1 /<-)** / / G O
2
3
4
Sampler
Received By (Date / Time)
Case No: 32129DAS No: 1SDG No: L.
For Lab Use Only
Lab Contract No:
Unit Price:
Transfer To:
Lab Contract No:
Unit Price:
ORGANIC MATRIX/ CONG/ ANALYSIS' TAGNoJ STATION SAMPLE COILECT INORGANIC FOR LAB USE ONLYSAMPLE No. SAMPLER TYPE TURNAROUND PRESERVATIVE/ Boltes LOCATION DATE/TWE SAMPLE No. Sample Condii on On Receipt
C0047
C0048
Surface Water/Gene Nance
Surface Water/Gene Nance
UG BNA/PEST (14)
L/G BNA/PEST (14)
3216 (Ice Only), 3217 (Ice W05 8:9/3/2003 20:00 MC0047Only), 3218 (Ice Only), 3219(Ice Only) (4)3223 (Ice Only), 3224 (Ice W06 5:9/3/2003 20:15 MC0048Only), 3225 (Ice Only), 3226(Ice Only) (4)
Shipment for Case
Corrptefe?Y
Analysis Key:
BNA/PEST = CLP TCL £
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s): Cooler TemperatureUpon Receipt:
Concentration: L = Low. M = Low/Medium. H = High Type/Designate: Composite = C, Grab = G
Chain of Custody Seal Number:
Custody Seal Intact? I Shipment Iced?
emivolatiles and Pesticides/PC
TR Number: 3^84523714-090503-0001PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office. 2000 Edmund Halley Dr., Reston, VA. 20191-3400 Phone 703/264-9348 Fax 703/264-9222
LABORATORY COPYF2V5.1.043 Ragel of 1
AR115284
^XppA USEPA Contract Laboratory Program Case NO: 32129 Q^^ Organic Traffic Report & Chain of Custody Record DAS No t\.
Region: 3
Project Code:
AccountCode: 03T03N50102D0371RVOO
CERCLIS ID: WVD054827944
Spill ID:
Site Name/State: Big John Salvage/WV
Project Leader: Gene Nance
Action: Removal Action
Sampling Co: Ecology & Environment, Inc.
Date Shipped: 9/5/2003
Carrier Name: FedEx
Airbill: 828048990079
Shipped to: Ceimic Corporation10 Dean Knauss DriveNarragansett Rl 02882(401)782-8900
Chain of Custody Record
Relinquished By (Date / Time)
1 -&Y\G ^ ?A/« !>**
2
3
4
SamplerSignature: ^ f**~~-~-> "-
Received By (Date / Time)
ORGANIC MATRDO CONO ANALYSIS/ TAGNoJ STATION SAMPLE COLLECT INORGANIC QCSAMPLE No. SAMPLER TYPE TURNAROUND PRESERVATIVE/ Bottles LOCATION DATE/HME SAMPLE No. Type
C0047
C0048
Surface Water/Gene Nance
Surface Water/Gene Nance
L/G
L/G
BNA/PEST (14)
BNA/PEST(14)
3216 (Ice Only), 3217 (IceOnly), 3218 (Ice Only), 3219(Ice Only) (4)3223 (Ice Only), 3224 (IceOnly), 3225 (Ice Only), 3226(Ice Only) (4)
W05
W06
S: 9/3/2003 20:00 MC0047
S: 9/3/2003 20:15 MC0048
Shipment for Case
Complete? Y
Analysis Key:
BNA/PEST = CLP TCL
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s):
Concentration: L = Low. M = Low/Medium, H = High Type/Designate: Composite = C, Grab = G
Chain of Custody Seal Number:
Shipment Iced?
Semivoiatiles and Pesticides/HC
TR Number: 3-484523714-090503-0001PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office, 2000 Edmund Halley Dr., Reston, VA 20191-3400 Phone 703/264-9348 Fax 703/264-9222
REGION COPYF2V5.1.043 Pagel of 1
AR115285
^^CIpA USEPA Contract Laboratory Program Case NO: 32129 f}Organic Traffic Report & Chain of Custody Record DAS No IX
Region:
Project Code:
Account Code:
CERCLIS ID:
Spill ID:
Site Name/State
Project Leader:
Action:
Sampling Co:
ORGANICSAMPLE No.
C0042
C0046
C0049
3
03T03N50102D0371RVOO
WVD054827944
: Big John Salvage/WV
Gene NanceRemoval Action
Ecology & Environment, Inc.
Date Shipped: 9/5/2003
Carrier Name: FedEx
Airbill: 828048990068
Shipped to: Ceimic Corporation10 Dean Knauss DriveNarragansett Rl 02882(401)782-8900
Chain of Custody Record
Relinquished By (Date / Time)
1 Jb^o-^-*- f /CA> / / O Q
2
3
4
SamplerSignature: -^-5 T\ a_~<_>-
Received By (Date / Time)
MATRIX/ CONC/ ANAYSe/ TAG No./ STATION SAMPLE COLLECT INORGANIC QCSAMPLER TYPE TUFWAROUND PRESERVATIVB Bodies LOCATION DATE/TWE SAMPLE No. Type
Surface Water/ L/G BNA/PEST (14) 3173 (Ice Only), 3174 (Ice W01 8:9/3/2003 17:45 MC0042 Lab QC : MS/MSDJoe Carter Only), 31 75 (Ice Only), 31 76
(Ice Only), 3177 (Ice Only),31 78 (Ice Only), 3179 (IceOnly), 31 80 (Ice Only), 3181(Ice Only), 3182 (Ice Only),31 83 (Ice Only), 3184 (IceOnly) (12)
Surface Water/ L/G BNA/PEST (14) 3209 (Ice Only), 3210 (Ice W04 8:9/3/2003 19:35 MC0046Gene Nance Only), 3211 (Ice Only), 3212
(Ice Only) (4)Surface Water/ L/G BNA/PEST (14) 3230 (Ice Only), 3231 (Ice W07 S: 9/3/2003 20:25 MC0049Gene Nance Only), 3232 (Ice Only), 3233
(Ice Only) (4)
Shipment for CaseComptefe?Y
Analysis Key:
BNA/PEST = CLP TCL
Sample(s) to be used for laboratory QC:
C0042
Additional Sampler Signature(s):
Concentration: i_ = Low, M = Low/Medium, H = High Type/Designate: Composite = C. Grab = G
Chain of Custody Seal Number:
Shipment Iced?
Semivolatnes and Peslicides/PC
TR Number: 3-484523714-090503-0002PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office, 2000 Edmund Halley Dr.. Reston, VA 20191-3400 Phone 703/264-9348 Fax 703/264-9222
REGION COPYFZV5.1.043 Page 1 of 1
AR115286
«P CDA USEPA Contract Laboratory Program^KyCrr^ organic Traffic Report & Chain of Custody Record
Date Shipped:
Carrier Name:
Airbill:
Shipped to:
ORGANICSAMPLE No.
9/5/2003
FedEx
828048990068
Ceimic Corporation10 Dean Knauss DriveNarragansett Rl 02882(401)782-8900
Chain of Custody Record
Relinquished By
1^/A^^_
2
(Date / Time)
?/c/,, „**' /
3
4
MATRIX/ CONC/ ANALYSIS/
SAMPLER TYPE TURNAROUND
SamplerolyjMluns: r ** *- c—*^
Received By (Date / Time)
Case No: 32129DAS No: 1SDG No: L_
For Lab Use Only
Lab Contract No:
Unit Price:
Transfer To:
Lab Contract No:
Unit Price:
TAG No./ STATION SAMPLE COLLECT INORGANICPRESERVATIVE/ Bottes LOCATION DATE/TME SAMPLE No.
FOR LAB USE ONLYSample CondM on On Receipt
C0042 Surface Water/ UG BNA/PEST(14) 3173 (Ice Only), 3174 (Ice W01 8:9/3/2003 17:45 MC0042Joe Carter Only), 3175 (Ice Only), 3176
(Ice Only), 3177 (Ice Only),3178 (Ice Only), 3179 (IceOnly), 3180 (Ice Only), 3181(Ice Only), 3182 (Ice Only),3183 (Ice Only), 3184 (IceOnly) (12)
C0046 Surface Water/ L/G BNA/PEST(14) 3209 (Ice Only), 3210 (Ice W04 5:9/3/2003 19:35 MC0046Gene Nance Only), 3211 (Ice Only), 3212
(Ice Only) (4)C0049 Surface Water/ L/G BNA/PEST(14) 3230 (Ice Only), 3231 (Ice W07 8:9/3/2003 20:25 MC0049
Gene Nance Only). 3232 (Ice Only), 3233(Ice Only) (4)
Shipment (or CaseComptele?Y
Analysis Key:
BNA/PEST = CLP TCL S
Sample(s) to be used for laboratory QC:
C0042
Additional Sampler Slgnature(s): Cooler TemperatureUpon Receipt:
Concentration: L = Low, M = Low/Medium. H = High Type/Designate: Composite = C. Grab - G
Chain of Custody Seal Number:
Custody Seal Intact? Shipment Iced?
>emivolatiles and Pesticides/PC
TR Number: 3-484523714-090503-0002PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office. 2000 Edmund Halley Dr., Reston, VA. 20191-3400 Phone 703/264-9348 Fax 703/264-9222
LABORATORY COPYF2V5.1.043 Pagel of 1
AR115287
J^PPA USEPA Contract Laboratory Program^^ Inorganic Traffic Report & Chain of Custody Record
Region: 3
Project Code:
Account Code: 03T03N50102D0371RVOO
CERCLIS ID: WVD054827944
Spill ID:
Site Name/State: Big John Salvage/WV
Project Leader: Gene Nance
Action: Removal Action
Sampling Co: Ecology & Environment, Inc.
INORGANIC MATRIX; CONC/ AN/M.YSB/SAMPLE No. SAMPLER TYPE TURNAROUND
MC0042 Surface Water/ UG TM (14)Joe Carter
MC0043 Surface Water/ UG TM (14)Gene Nance
MC0045 Surface Water/ UG TM (14)Gene Nance
MC0046 Surface Water/ UG TM (14)Gene Nance
MC0047 Surface Water/ UG TM (14)Gene Nance
MC0048 Surface Water/ UG TM (14)Gene Nance
MC0049 Surface Water/ UG TM (14)Gene Nance
MC0050 Surface Water/ UG TM (14)Gene Nance
MC0051 Field QC/ UG TM (14)Gene Nance
Date Shipped: 9/5/2003 Chair
Carrier Nam«r FedEx
Airbill: 837541203464 Re"nq
Shipped to: Bonner Analytical Testing ^ j~)
U0' -32703 Oak Grove Road lL
Hattiesburg MS 39402(601)264-2854 3
4
TAG No./ STATIONPRESERVATIVE/ Bottles LOCATION
3170 (HNO3), 3171 (HNO3), W013172(HNO3)(3)
3191 (HNO3)(1) W02
3201 (HNO3)(1) W03
3208(HNO3)(1) W04
3215(HNO3)(1) W05
3222(HNO3)(1) W06
3229(HN03)(1) W07
3236(HNO3)(1) W08
3243 (HNO3)(1) W09
Case No: 32129 [^DAS No: IX
i of Custody Record SamplerSigiature: .£> /Tff-v-c-^~-
ulshed By (Date / Time) Received By (Date / Time)
r\*w~->^_ tf/5/^ "a-i
SAMPLE COLLECT ORGANIC QCDATE/HME SAMPLE No. Type
8:9/3/2003 17:45 C0042 Lab QC : MS/MSD
S: 9/3/2003 18:50 C0043
8:9/3/2003 19:00 C0045 Field Duplicate of W02
S: 9/3/2003 19:35 C0046
S: 9/3/2003 20:00 C0047
S. 9/3/2003 20:15 C0048
S: 9/3/2003 20:25 C0049
S: 9/3/2003 20:35 C0050
S: 9/3/2003 20:50 C0051 Field Blank
Shipment for Case
Complete ?Y
Analysis Key:
TM = CLP TAL Total Me
Sample(s) to be used for laboratory QC:
MC0042
Additional Sampler Signatures):
Concentration: L = Low, M = Low/Medium. H = High Type/Designate: Composite = C. Grab = G
Chain of Custody Seal Number:
Shipment Iced?
tals
TR Number: 3-484523714-090503-0003PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office, 2000 Edmund Halley Dr., Reston. VA. 20191-3400 Phone 703/264-9348 Fax 703/264-9222
REGION COPYF2V5.1.043 Page 1 of 1
AR115288
*J F-PA USEPA Contract Laboratory ProgramSjf Cr.r\ inorganic Traffic Report & Chain of Custody Record
Date Shipper 9/5/2003
Carrier Name: FedEx
Airbill. 837541203464
Shipped to: Bonner Analytical TestingCo.2703 Oak Grove RoadHattiesburg MS 39402(601)264-2854
Chain of Custody Record
Relinquished By (Date / Time)
1 -^AV>-x^_^ f/£/o^ / y o o2
3
4
8*"i*f *> y^ri ^Siyuture ' "*~Received By (Date / Time)
Case No: 32129DAS No: 1
SDG No: 1
For Lab Use Only
Lab Contract No:
UnK Price:
Transfer To:
Lab Contract No.
UnK Price:
INORGANIC MATRIX/ CONG/ ANALYSIS/ TAGNoJ STATION SAMPLE OOILECT ORGANIC FOR LAB USE ONLYSAMPLE No. SAMPLER TYPE TURNAROUND PRESERVATIVE Botles LOCATION DATE/nME SAMPLE No. Sample Core* on On Receipt
MC0042
MC0043
MC0045
MC0046
MC0047
MC0048
MC0049
MC0050
MC0051
Surface Water/Joe Carter
Surface Water/Gene Nance
Surface Water/Gene Nance
Surface Water/Gene Nance
Surface Water/Gene Nance
Surface Water/Gene Nance
Surface Water/Gene Nance
Surface Water/Gene Nance
Field QC/Gene Nance
L/G
L/G
UG
L/G
L/G
L/G
L/G
L/G
L/G
TM
TM
TM
TM
TM
TM
TM
TM
TM
(14)
(U)
(14)
(14)
(14)
(14)
(14)
(14)
(14)
3170(HNO3), 3171 (HNO3),3172 (HNO3) (3)
3191 (HNO3)(1)
3201 (HNO3)(1)
3208(HNO3)(1)
3215(HNO3)(1)
3222(HNO3)(1)
3229(HNO3)(1)
3236(HNO3)(1)
3243(HNO3)(1)
W01
W02
W03
W04
W05
W06
W07
W08
W09
S:
S:
S:
S:
S:
S:
S:
S:
S:
9/3/2003
9/3/2003
9/3/2003
9/3/2003
9/3/2003
9/3/2003
9/3/2003
9/3/2003
9/3/2003
17:45
18:50
19:00
19:35
20:00
20:15
20:25
20:35
20:50
C0042
C0043
C0045
C0046
C0047
C0048
C0049
C0050
C0051
Shipment (or CaseComplete ?Y
Analysis Key:
TM = CLP TAL Total Me
Sample<s) to be used for laboratory QC:
MC0042
Additional Sampler Signatures): Cooler TemperatureUpon Rec dpi:
Concentration: L = Low. M = LovWMedium. H = High Type/Designate: Composite - C. Grab = G
Chain of Custody Seal Number:
Custody Seal Intact? Shipment Iced?
tals
TR Number: 3-484523714-090503-0003PR provides preliminary results. Requests for preliminary result* will Increase analytical costs.Send Copy to: Sample Management Office. 2000 Edmund Halley Dr.. Reston, VA. 20191-3400 Phone 703/254-9348 Fax 703/264-9222
LABORATORY COPYF2V5.1.043 Pagel of 1
AR115289
^FR/X USEPA Contract Laboratory Program^^ Organic Traffic Report & Chain of Custody Record
Region: 3
Project Code:
Account Code: 63T03N50102O0371 RVOO
CERCLIS ID: WVD054827944
Spill ID:
Site Name/State: Big John Salvage/WV
Project Leader: Gene Nance
Action: Removal Action
Sampling Co: Ecology & Environment, Inc.
Date Shipped: 9/5/2003
Carrier Name: FedEx
Airbill: 828048990127
Shipped to: Ceimic Corporation10 Dean Knauss DriveNarragansett Rl 02882(401)782-8900
Case No: 32129 O
DAS No: IX
Chain of Custody Record
Relinquished By (Date / Time)
1 ^n— _ V^/oi >'°°2
3
4
SamplerSignature ?^> f\ o-r~ c-*
Received By (Date / Time)
ORGANIC MATRIX/ CONO ANALYSIS/ TAG No./ STATION SAMPLE 00 LLECT INORGANIC QCSAMPLE No. SAMPLER TYPE TURNAROUND PRESERVATIVE/ Bottles LOCATION DATE/TIME SAMPLE No. Type
C0043
COCK 5
Surface Water/Gene Nance
Surface Water/Gene Nance
L/G
UG
BNA/PEST (14)
BNA/PEST (14)
3192 (Ice Only), 3193 (IceOnly), 3194 (Ice Only), 3195(Ice Only) (4)3202 (Ice Only), 3203 (IceOnly), 3204 (Ice Only), 3205(Ice Only) (4)
W02
W03
S: 9/3/2003
S: 9/3/2003
18:50
19:00
MC0043
MC0045 Field Duplicate of W02
Shipment for Case
Comptete?/'Jfr«^
Analysis Key:
BNA/PEST = CLP TCL
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s):
Concentration: |_ = Low, M = Low/Medium. H = High Type/Designate: Composite = C. Grab = G
Chain of Custody Seal Number:
Shipment Iced?
iemivolatiles and Pesticides/HC
TR Number: 3-484523714-090403-0004PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office, 2000 Edmund Halley Dr., Reston, VA. 20191-3400 Phone 703/264-9348 Fax 703/264-9222
REGION COPYF2VS1.043 Page 1 of 1
AR115290
*J PDA USEPA Contract Laboratory Program^Cr Ci /A organic Traffic Report & Chain of Custody Record
Date Shipped: 9/5/2003
Carrier Name: FedEx
Airbill: 828048990127
Shipped to: Ceimic Corporation10 Dean Knauss DriveNarragansett Rl 02882(401)782-8900
Chain of Custody Record
Rriinquterwd By (Oat* / Time)
1 X*KL_._ ?/^M nco2
3
4
SamplerSignature -£> Y\jtt-r~ <— 4—Received By (Date / Time)
Case No: 32129
DAS No: 1
SDG No: |_
For Lab Use Only
Lab Contract No:
Unit Price:
Transfer To:
Lab Contract No:
Unit Price:
ORGANIC MATRDO CONG ANALYSIS/ TAGNoJ STATION SAMPLE COLLECT INORGANIC FOR LAB USE ONLYSAMPLE No. SAMPLER TYPE TURNAROUND PRESERVATIVE/ Botles LOCATION DATE/TME SAMPLE No. Sample Condition On Receipt
C0043
C0045
Surface Water/Gene Nance
Surface Water/Gene Nance
UG BNA/PEST (14)
L/G BNA/PEST (14)
3192 (Ice Only), 3193 (Ice W02 8:9/3/2003 18:50 MC0043Only), 3194 (Ice Only), 3195(Ice Only) (4)3202 (Ice Only), 3203 (Ice W03 3:9/3/2003 19:00 MC0045Only), 3204 (Ice Only), 3205(Ice Only) (4)
Shipment (or CaseComplete?^ Uei
Analysis Key:
BNA7PEST = CLP TCL 5
Sample(s) to be used for laboratory QC: Additional Sampler Slgnature(s): Cooler TemperatureUpon Receipt:
Concentration: L = Low. M = Low/Medium, H = High Type/Designate: Composite - C, Grab = G
Chain of Custody Seal Number:
Custody Seal Intact? Shipment Iced?
emivolatiles and Pesticides/PC
TR Number: 3-484523714-090403-0004PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office, 2000 Edmund Halley Dr.. Reston, VA. 20191-3400 Phone 703/264-9348 Fax 703/264-9222
LABORATORY COPYF2V5.1.043 Page 1 Of 1
AR115291
^XpDA USEPA Contract Laboratory Program^^ Organic Traffic Report & Chain of Custody Record
Region: 3
Project Code:
Account Code: 03T03N50102D0371RVOO
CERCLIS ID: WVD054827944
Spill ID:
Site Name/State: Big John Salvage/WV
Project Leader: Qene Nance
Action: Removal Action
Sampling Co: Ecology & Environment, Inc.
ORGANIC MATRDO CONG/ ANA.YS6/SAMPLE No. SAMPLER TYPE TURNAROUND
C0042 Surface Water/ UG VOA (14)Joe Carter
C0043 Surface Water/ UG VOA (14)Gene Nance
C0045 Surface Water/ UG VOA (14)Gene Nance
C0046 Surface Water/ UG VOA (14)Gene Nance
C0047 Surface Water/ UG VOA (14)Gene Nance
C0048 Surface Water/ UG VOA (14)Gene Nance
C0049 Surface Water/ UG VOA (14)Gene Nance
C0050 Surface Water/ UG VOA (14)Gene Nance
C0051 Field QC/ UG VOA (14)Gene Nance
C0052 Field QC/ UG VOA (14)Gene Nance
Date Shipped: 9/5/2003 Chail
Carrier Name* FedExRellnq
Airbill: 828048990116
Shipped to: Ceimic Corporation ' S3,iu uean Knauss LmveNarragansett Rl 02882 2
(401) /82-8900
4
TAGNOJ STATIONPRESERVATIVE/ Bottles LOCATION
3185 (HCL), 3186 (HCL), W013187 (HCL), 3188 (HCL),31 89 (HCL), 31 90 (HCL) (6)3196 (HCL), 3197 (HCL) (2) W02
3206 (HCL), 3207 (HCL) (2) W03
3213 (HCL), 3214 (HCL) (2) W04
3220 (HCL), 3221 (HCL) (2) W05
3227 (HCL), 3228 (HCL) (2) W06
3234 (HCL), 3235 (HCL) (2) W07
3241 (HCL), 3242 (HCL) (2) W08
3248 (HCL), 3249 (HCL) (2) W09
3250 (HCL), 3251 (HCL) (2) W10
Case No: 32129 O
DAS No: Iv
i of Custody Record S3"**"Signature ^^D/tA^-^-"
ulsMdBy (Date /Time) Received By (Date /Time)
f^~^^ 7/S/oi //oo
SAMPLE OOHECT INORGANIC QCDATE/TME SAMPLE No. Type
5:9/3/2003 17:45 MC0042 Lab QC : MS/MSD
S: 9/3/2003 18:50 MC0043
5:9/3/2003 19:00 MC0045 Field Duplicate of W02
S: 9/3/2003 19:35 MC0046
S: 9/3/2003 20:00 MC0047
S: 9/3/2003 20:15 MC0048
S: 9/3/2003 20:25 MC0049
S: 9/3/2003 20:35 MC0050
S: 9/3/2003 20:50 MC0051 Field Blank
S: 9/3/2003 20:55 Trip Blank
Shipment for CaseComplete? N
Analysis Key.
VOA = CLP TCL Volatile
Sample(s) to be used for laboratory QC:
C0042
Additional Sampler Slgnature(s):
Concentration: L = Low, M = Low/Medium. H = High Type/Designate: Composite = C. Grab - G
Chain of Custody Seal Number:
Shipment Iced?
:s
TR Number: 3-484523714-090403-0005PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office, 2000 Edmund Halley Dr., Reston, VA. 20191-3400 Phone 703/264-9348 Fax 703/264-9222
REGION COPYF2V5.1.043 Pagel of 1
AR115292
*J PDA USEPA Contract Laboratory Program^*y « ^ Organic Traffic Report & Chain of Custody Record
Date Shipped: 9/5/2003
Carrier Nam«: FedEx
Airbill: 828048990116
Shipped to: Ceimic Corporation10 Dean Knauss DriveNarragansett Rl 02882(401)782-8900
Chain of Custody Record
Relinquished By (Date / Time)
1 *>Y\o r »__ t/^/a*> HO&2
3
4
SamplerSigature ,£>/'U_^~t
Received By (Date / Time)
Case No: 32129DAS No: 1
SDG No: L_
For Lab Use Only
Lab Contract No
Unit Price:
Transfer To:
Lab Contract No:
Unit Price:
ORGANIC MATRDU CONC/ ANALYSIS/ TAGNoV STATION SAMPLECOLLECT INORGANIC FOR LAB USE OM.YSAMPLE No. SAMPLER TYPE TURNAROUND PRESERVATIVE/ Bottes LOCATION DATE/TWE SAMPLE No. Sample Condition On Receipt
C0042
C0043
C0045
C0046
C0047
C0048
C0049
C0050
C0051
C0052
Surface Water/ L/GJoe Carter
Surface Water/ L/GGene Nance
Surface Water/ UGGene Nance
Surface Water/ L/GGene Nance
Surface Water/ UGGene Nance
Surface Water/ L/GGene Nance
Surface Water/ L/GGene Nance
Surface Water/ UGGene Nance
Field QC/ UGGene Nance
Field QC/ UGGene Nance
VGA (14)
VOA (14)
VOA(14)
VOA (14)
VOA (14)
VOA (14)
VOA (14)
VOA (14)
VOA (14)
VOA (14)
3185 (HCL), 3186 (HCL), W013187 (HCL), 3188 (HCL),3189 (HCL), 31 90 (HCL) (6)3196 (HCL), 3197 (HCL) (2) W02
3206 (HCL), 3207 (HCL) (2) W03
3213 (HCL), 3214 (HCL) (2) W04
3220 (HCL), 3221 (HCL) (2) W05
3227 (HCL), 3228 (HCL) (2) W06
3234 (HCL), 3235 (HCL) (2) W07
3241 (HCL), 3242 (HCL) (2) W08
3248 (HCL), 3249 (HCL) (2) W09
3250 (HCL), 3251 (HCL) (2) W10
S: 9/3/2003 17:45 MC0042
S: 9/3/2003 18:50 MC0043
S: 9/3/2003 19:00 MC0045
S: 9/3/2003 19:35 MC0046
S: 9/3/2003 20:00 MC0047
S: 9/3/2003 20:15 MC0048
S: 9/3/2003 20:25 MC0049
S: 9/3/2003 20:35 MC0050
S: 9/3/2003 20:50 MC0051
S: 9/3/2003 20:55
Shipment for CaseComptete?N
Analysis Key:
VOA = CLP TCL Volatile
Sample(s) to be used for laboratory QC:
C0042
Additional Sampler Signature(s): Cooler TemperatureUpon Receipt:
Concentration: L = low, M = Low/Medium. H = High Type/Designate: Composite = C. Grab = G
Chain of Custody Seal Number:
Custody Seal Intact? Shipment Iced?
S
TR Number: 3-484523714-090403-0005PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office, 2000 Edmund Halley Dr., Reston, VA. 20191-3400 Phone 703/264-9348 Fax 703/264-9222
LABORATORY COPYF2V5.1.043 Page 1 of 1
AR115293
£ CDA USEPA Contract Laboratory Program\XCi/n Organic Traffic Report & Chain of Custody Record
Date Shipped: 9/5/2003
Carrier Name: FedEx
Airbill: 837541203453
Shipped to: Ceimic Corporation10 Dean Knauss DriveNarragansett Rl 02882(401)782-8900
Chain of Custody Record
Relinquished By (Date / Time)
S>/\C**—iJ^- ?/Oci ^ / fcO
2
3
4
Sampler „ _Signature "^ /w>— cJ» —
Received By (Date / Time)
Case No: 32129DAS No: 1SDG No: L_
For Lab Use Only
Lab Contract No:
Unit Price:
Transfer To:
Lab Contract No:
Unit Price:
ORGANIC MATRIX/ CONC/ AfWLYStS/ TAG No./ STATION SAMPLE CO LLECT INORGANIC FOR LAB USE ONLYSAMPLE No. SAMPLER TYPE TURNAROUND PRESERVATIVE/ Botles LOCATION DATE/TWE SAMPLE No. Sample Condition On Receipt
C0050 Surface Water/ L/G BNA/PEST (14) 3237 (Ice Only), 3238 (Ice W08 S: 9/3/2003 20:35 MC0050Gene Nance Only), 3239 (Ice Only), 3240
(Ice Only) (4)C0051 Field QC/ UG BNA/PEST (14) 3244 (Ice Only), 3245 (Ice W09 5:9/3/2003 20:50 MC0051
Gene Nance Only), 3246 (Ice Only), 3247(Ice Only) (4)
Shipment for CaseComplete TpToLt^
Analysis Key:
BNA/PEST = CLPTCLS
Sample(s) to be used for laboratory QC. Additional Sampler Signature(s): Cooler TemperatureUpon Receipt:
Concentration: L = Low. M = Low/Medium. H = High Type/Designate: Composite = C. Grab = G
Chain of Custody Seal Number:
Custody Seal Intact? Shipment Iced?
emivolatiles and Pesticides/PC
TR Number: 3-484523714-090403-0006PR provides preliminary results. Requests for preliminary results will Increase analytical costs.Send Copy to: Sample Management Office, 2000 Edmund Halley Dr., Reston. VA 20191-3400 Phone 703/264-9348 Fax 703/264-9222
LABORATORY COPYF2V5.1.043 Rage 1 of 1
AR115294
^^CDA USEPA Contract Laboratory Program Case NO:^^ Organic Traffic Report & Chain of Custody Record DAS No
Region: 3
Project Code:
Account Code: 03T03N50102D0371RVOO
CERCLIS ID: WVD054827944
Spill ID:
Site Name/State: Big John Salvage/WV
Project Leader: Gene Nance
Action: Removal Action
Sampling Co: Ecology & Environment, Inc.
Date Shipped: 9/5/2003
Carrier Name: FedEx
Airbill: 837541203453
Shipped to: Ceimic Corporation10 Dean Knauss DriveNarragansett Rl 02882(401) 782-8900
Chain of Custody Record
Relinquished By (Date / Time)
1 /?n^-^»_ ?/c/>^ //o°/
3
4
32129 O
Sampler
Signature -^/f^^^j^
Received By (Date / Time)
ORGANIC MATRIX/ CONC/ ANALYSIS/ TAGNoJ STATION SAMPLE COLLECT INORGANIC QCSAMPLE No. SAMPLE* TYPE TURNAROUND PRESERVATIVE/ Bottles LOCATION DATE/TIME SAMPLE No. Type
C0050
C0051
Surface Water/Gene Nance
Field QC/Gene Nance
UG
L/G
BNA/PEST(14)
BNA/PEST(14)
3237 (Ice Only), 3238 (IceOnly), 3239 (Ice Only), 3240(Ice Only) (4)3244 (Ice Only), 3245 (IceOnly), 3246 (Ice Only), 3247(Ice Only) (4)
W08
W09
S: 9/3/2003
S: 9/3/2003
20:35
20:50
MC0050
MC0051 Field Blank
Shipment fprCase
CompteteTjPft «•>
Analysis Key:
BNA/PEST = CLP TCL
Sample(s) to be used for laboratory QC: Additional Sampler Signature(s):
Concentration: |_ = Low. M = Low/Medium. H = High Type/Designate: Composite = C, Grab = G
Chain of Custody Seal Number:
Shipment Iced?
iemivolatiles and Pesticides/PC
TR Number: 3-484523714-090403-0006PR provides preliminary results. Requests for preliminary results will Increase analytical costs.
Send Copy to: Sample Management Office. 2000 Edmund Halley Dr., Reston. VA. 20191-3400 Phone 703/264-9348 Fax 703/264-9222
REGION COPYF2V5L1.043 Page 1 of 1
AR115295
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AR115296