Maxxam Ontario CofC 2012 05 07 - Excel by iqbiU0h7

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									                                     6740 Campobello Road, Mississauga, ON L5N 2L8
                                                                                                                                                                                                                                                                  CHAIN OF CUSTODY RECORD
                                     Phone: 905-817-5700        Fax: 905-817-5779               Toll Free: (800) 563-6266                                                                                                                                                                   Page _____ of _____
                            INVOICE INFORMATION:                                             REPORT INFORMATION (if differs from invoice):                                                                                                 PROJECT INFORMATION:                             MAXXAM JOB NUMBER:

Company Name:                                                                    Company Name:                                                                                                                           Quotation #

Contact Name:                                                                    Contact Name:                                                                                                                           P.O. #:

Address:                                                                         Address:                                                                                                                                Project #:                                                            CHAIN OF CUSTODY # :

                                                                                                                                                                                                                         Site Location:

Phone:                                   Fax:                                    Phone:                                                                                                   Fax:                           Site #:

Email:                                                                           Email:                                                                                                                                  Sampled By:

***Note: For MOE Regulated Drinking Water samples, please use the Drinking Water COC.***                                                                                                  ANALYSIS REQUESTED ( Please be specific ):                                TURNAROUND TIME (TAT) REQUIRED:
                                                                                                                                                                                                                                                        PLEASE PROVIDE ADVANCE NOTICE FOR RUSH
             Regulation 153 (2011)                            Other Regulations
                                                                                                                                                                                                                                                                        PROJECTS




                                                                                                           MOE Regulated Drinking Water ? ( Y / N )
                                                                                                                                                                                                                                                   Regular (Standard) TAT:
     Table 1        Res/Park         Med/Fine       CCME                    Sanitary Sewer Bylaw                                                                                                                                                                 ( 5-7 working days for most tests)
     Table 2        Ind/Comm         Coarse         Reg 558                 Storm Sewer Bylaw




                                                                                                                                                      Metals Field Filtered ? ( Y / N )
     Table 3        Agri/Other                      MISA                                                                                                                                                                                           Rush TAT:
     Table                         For RSC          PWQO         Municipality:                                                                                                                                                                       ***Samples must be received by 3pm to guarantee your TAT***
                                         Yes        Other (Specify):                                                                                                                                                                                        Rush Confirmation #: PN

                                         No                                                                                                                                                                                                                      1 day                2 days                3 days

         Include Criteria on Certificate of Analysis (Y/N)?                                                                                                                                                                                                  DATE Req'd:
                                         o
SAMPLES MUST BE KEPT COOL ( < 10 C ) FROM TIME OF SAMPLING UNTIL DELIVERY TO                                                                                                                                                                                          TAT for certain tests are > 5 days.
MAXXAM                                                                                                                                                                                                                                                         Please contact your Project Manager for details.
                                                                    Time                  Matrix                                                                                                                                                     # of
                 Sample Identification           Date Sampled                                                                                                                                                                                                                 COMMENTS / TAT COMMENTS
                                                                  Sampled           (GW, SW, Soil, etc.)                                                                                                                                            Cont.
 1

 2

 3

 4

 5

 6

 7

 8

 9

10
     RELINQUISHED BY: (Signature/Print)         Date (YYYY/MM/DD)           Time:                  RECEIVED BY: (Signature/Print)                                                                           Date (YYYY/MM/DD)             Time:     # JARS USED AND                     Laboratory Use Only
                                                                                                                                                                                                                                                    NOT SUBMITTED Custody             Yes      No
                                                                                                                                                                                                                                                                                                    Temperature (°C) on Receipt
                                                                                                                                                                                                                                                                           Seal
                                                                                                                                                                                                                                                                           Present

                                                                                                                                                                                                                                                                           Intact

MANDATORY SECTIONS IN GREY MUST BE FILLED OUT. AN INCOMPLETE CHAIN OF CUSTODY MAY RESULT IN ANALYTICAL TAT DELAYS
                                                                                                   Maxxam Analytics International Corporation o/a Maxxam Analytics
                                                     Sample Container, Preservation, and Hold Time Information
                                     Hold Times and Container Types Do Not Apply to Drinking Water Samples - Please Refer to Maxxam's Drinking Water C of C
        Inorganic Parameters                                                              Recommended Sample Container                   Preservation                        Hold Time*
                                                                                                                                                                                                                                          Reg 153 Metals and Inorganics Packages
        Alkalinity                                                                                  500 mL plastic                           None                              14 days
        Anions (Br, Cl, F, NO3, NO2, PO4, SO4)                                                      500 mL plastic                           None                             5/28 Days
                                                                                                                                                                                                      Reg 153 ICPMS Metals             Reg 153 Metals Package (Soil)            Reg 153 Metals Package (Water)
        Biochemical Oxygen Demand (BOD)                                                             500 mL plastic                           None                               4 days
        Carbon, Total Organic (TOC)                                                                 250 mL plastic                       H2SO4 (pH < 2)                        10 days                Antimony                         Reg 153 ICPMS Metals plus:               Reg 153 ICPMS Metals plus:
        Carbon, Dissolved Organic (DOC)                                                             120 mL plastic                           None                               3 days                Arsenic                          Chromium VI                              Chromium VI
        Chemical Oxygen Demand (COD)                                                                250 mL plastic                       H2SO4 (pH < 2)                        30 days                Barium                           HWS Boron                                Mercury
        Chlorine, Residual (Cl)                                                            40 mL glass vial w/septum cap**                   None                            immediate                Beryllium                        Mercury
        Chromium VI - FIELD FILTER GW (Reg. 153)                                                    250 mL plastic                 (NH4)2S04/NH4OH/NaOH                        28 days                Boron (total)
        Conductivity                                                                                500 mL plastic                           None                              28 days                Cadmium
        Cyanide (CN)                                                                                250 mL plastic                     NaOH (pH > 12)                          14 days                Chromium (total)
        Dissolved ICPMS, ICP Metals - FIELD FILTER GW                                               250 mL plastic                       HNO3 (pH < 2)                         60 days                Cobalt                           Reg 153 Metals & Inorganics Package      Reg 153 Metals & Inorganics Package
        Total ICPMS, ICP Metals - NOT FILTERED                                                         250 mL plastic                        HNO3 (pH < 2)                      30 days               Copper                           (Soil)                                   (Water)
        Mercury - FIELD FILTER GW (Reg. 153) / SW (PWQO)                                             125 mL clear glass                       HCl (pH < 2)                      28 days               Lead                             Reg 153 Metals Package plus…             Reg 153 Metals Package plus…
        Methyl Mercury (Subcontracted )                                                                250 mL plastic                         HCl (pH < 2)                      28 days               Molybdenum                       Electrical Conductivity                  Chloride
        Nitrogen - Ammonia ( NH3 - N ) / Total Kjeldahl Nitrogen ( TKN )                               250 mL plastic                        H2SO4 (pH < 2)                     10 days               Nickel                           Free Cyanide                             Free Cyanide
        Phenolics - Total                                                                           120 mL amber glass                       H2SO4 (pH < 2)                     30 days               Selenium                         pH
WATER




        Solids - ( TS, TSS, TDS )                                                                     500 mL plastic                             None                           7 days                Silver                           Sodium Absorption Ratio
        Sulphide ( S2- )                                                                              250 mL plastic                     NaOH / ZnOAc (pH > 12)                 7 days                Sodium (water only)
        Total Phosphorus                                                                              250 mL plastic                        H2SO4 (pH < 2)                      30 days               Thallium
        Microbiological - Sewer                                                                  300 mL plastic - Sterilized                     Na2S2O3                       24 hours               Uranium
        Microbiological - All Other                                                             300 mL plastic - Sterilized                    Na2S2O3                        48 hours                Vanadium
        Organic Parameters                                                                  Recommended Sample Container                     Preservation                    Hold Time*               Zinc
        ABNs (Acid & Base Neutral Extractables) or SVOCs (Semi-Volatiles)                           2 x 1L amber glass                          None                           14 days
        Fatty and Resin Acids                                                                      250 mL amber glass                           None                           7 days
        Herbicides                                                                                  2 x 1L amber glass                          None                           14 days
                                                                                                                                                                                                                                              Maxxam Water Quality Packages
        Dioxins and Furans                                                                          2 x 1L amber glass                          None                       30 days/indefinite
        Chlorophenols                                                                               2 x 1L amber glass                          None                            14 days               RCAP - Comprehensive             RCAP - Routine                           RCAP - Surface Water
        PAHs                                                                                     2 x 500 mL amber glass                         None                            14 days               ICP/MS Metals - Dissolved        ICP Metals - Dissolved                   ICP/MS Metals - Total
        Pesticides / PCBs / Ocs                                                                  2 x 500 mL amber glass                         None                            14 days               Alkalinity CaCO3                 Alkalinity CaCO3                         Alkalinity CaCO3
        Oil & Grease / Heavy Oils / F4 Gravimetric                                                  2 x 1L amber glass                       HCl (pH < 2)                       30 days               Ammonia as N                     Ammonia as N                             Ammonia as N
        CCME PHCs F2-F4 / Extractable Hydrocarbons                                               2 x 500 mL amber glass                     NaHS04 (pH < 2)                     40 days               Carbon, Dissolved Org. as C      Carbon, Dissolved Org. as C              Carbon, Total Org. As C
        CCME PHCs F1 / BTEX                                                                 3 x 40 mL clear glass septum vial**             NaHS04 (pH < 2)                     14 days               Chloride                         Chloride                                 Chloride
        THMs / VOC's                                                                        3 x 40 mL clear glass septum vial**             NaHS04 (pH < 2)                     14 days               Conductivity                     Conductivity                             Conductivity
        1,4 Dioxane - processed as a VOC                                                    3 x 40 mL clear glass septum vial**             NaHS04 (pH < 2)                     14 days               Nitrate as Nitrogen              Nitrate as Nitrogen                      Nitrate as Nitrogen
        1,4 Dioxane - processed as an ABN                                                           2 x 1L amber glass                          None                            14 days               Nitrite as Nitrogen              Nitrite as Nitrogen                      Nitrite as Nitrogen
                                                                                                                                                                                                      pH                               pH                                       pH

        Inorganic Parameters                                                                Recommended Sample Container                      Preservation                   Hold Time*               Phosphate as o-PO4               Phosphate as o-PO4                       Phosphate as o-PO4

        Anions (Br, F, NO3, NO2, PO4, SO4)                                                          250 mL glass jar                            None                        None Specified            Sulphate as SO4                  Sulphate as SO4                          Sulphate as SO4
        Anions (Chloride)                                                                           250 mL glass jar                            None                           30 days                                                                                          Total Phosphorus (colorimetric)
        Carbon, Total or Fraction of Organic (TOC/FOC)                                      250 mL glass jar, teflon lined lid                  None                           28 days                                                                                          Turbidity
        Conductivity                                                                                250 mL glass jar                            None                           30 days
        Cyanide, Free                                                                      250 mL glass jar, teflon lined lid***                None                           14 days                CALCULATIONS:                    CALCULATIONS:                            CALCULATIONS:
        Chromium VI                                                                                 250 mL glass jar                            None                           30 days                TDS Calculated                   TDS Calculated                           TDS Calculated
        Metals (incl. Hydrides, SAR, HWS Boron, Ca, Mg, Na)                                         250 mL glass jar                            None                          180 days                Bicarbonate Alkalinity           Bicarbonate Alkalinity                   Bicarbonate Alkalinity
        Mercury                                                                                     250 mL glass jar                            None                           28 days                Carbonate Alkalinity             Carbonate Alkalinity                     Carbonate Alkalinity
        Methyl Mercury (Subcontracted )                                                             250 mL glass jar                            None                           28 days                Anion Sum                        Anion Sum                                Hardness
        Nitrogen - Ammonia ( NH3 - N ) / Total Kjeldahl Nitrogen ( TKN )                            250 mL glass jar                            None                        None Specified            Cation Sum                       Cation Sum                               Langelier Index @5C
SOIL




        pH                                                                                          250 mL glass jar                            None                           30 days                Hardness                         Hardness                                 Langelier Index @20C
        Phenolics - Total                                                                           250 mL glass jar                            None                        None Specified            Ion Balance                      Ion Balance                              Saturation pH @5C
        Regulation 558 - TCLP - Inorganics & Organics                                               250 mL glass jar                            None                         14-180 days              Langelier Index @5C              Langelier Index @5C                      Saturation pH @20C
        Regulation 558 - TCLP (Zero Headspace Extraction) - Volatiles                       120 mL glass jar, teflon lined lid                  None                           14 days                Langelier Index @20C             Langelier Index @20C
        Organic Parameters                                                                 Recommended Sample Container                      Preservation                    Hold Time*               Saturation pH @5C                Saturation pH @5C
        BTEX, PHCs (F1), THMs, VOCs for Reg 153 - RSC work                                40ml glass vial (plus 60ml jar for moisture)      10 mL methanol                     14 days                Saturation pH @20C               Saturation pH @20C
        BTEX, PHCs (F1), THMs, VOCs for Reg 153 - RSC work                               Hermetic Sampler (plus 60ml jar for moisture)    Stabilize with Methanol within 48 hrs of sampling
        PHCs (F2-F4) and Moisture                                                           120 mL glass jar, teflon lined lid                  None                            14 days
        Herbicides, OP Pesticides                                                           120 mL glass jar, teflon lined lid                  None                            14 days
        Dioxins and Furans, PCBs                                                            120 mL glass jar, teflon lined lid                  None                    indefinite storage time
        Oil & Grease, Heavy Oils                                                            120 mL glass jar, teflon lined lid                  None                            30 days
                                                                                                                                                                                                       Note: Samples are to be kept cool (less than 10oC) post collection; however, samples arriving at Maxxam the same
        ABNs, Chlorophenols, OC Pesticides, PAHs                                            120 mL glass jar, teflon lined lid                  None                            60 days
        1,4-Dioxane - processed as a VOC                                                                                                    10 mL methanol                                             day as they were collected, with an attempt made to cool, are not considered compromised at greater than 10oC.
                                                                                          40ml glass vial (plus 60ml jar for moisture)                                          14 days
        1,4 Dioxane - processed as an ABN                                                   120 mL glass jar, teflon lined lid                  None                            14 days

        *Based upon Reg. 153 analytical protocols and MISA (Municipal and Industrial Strategy for Abatement)
        **No headspace or air bubbles in the container.
        ***Protect from light

        Maxxam has provided a summary of holding times for convenience purposes only and is to be used only as a guide. Holding times may differ depending on required protocol.
        Please consult the official regulations to ensure the appropriate holding times are followed. Please ensure samples are transported as quickly as possible to ensure hold times can be met.

								
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