HomeMy WebLinkAboutApplication Files_93681_pg0028 REASONABLE CONFIDENCE PROTOCOL
LABORATORY ANALYSIS QA/QC CERTIFICATION FORM
Laboratory Name, Complete Environmental Testing,Inc. Client.Zuvic-Carr&Associates,Inc.
Project Location: Dzen Tree Farm,S.Windsor Project Number: 1476
Laboratory Sample ID(s):AF32684 Sampling Date(s):5/9/2013
List RCP Methods Used(e.g.,8260,8270,etcetera): CE7W. 13050362
For each analytical method referenced in this laboratory report package,were all specified
I QA/QC performance criteria followed including the requirement to explain any criteria ®Yes[]No
falling outside of acceptable guidelines,as specified in the CT DEP method-specific
Reasonable Confidence Protocol documents?
Were the method specified preservation and holding time requirements met?
IA ®Yes❑No
VPH and EPH Methods only: Was the VPH or EPH method conducted without
1B significant modifications(see section 11.3 of respective RCP methods) ❑Yes❑No
®N/A
2 Were all samples received by the laboratory in a condition consistent with that described on
the associated chain-of-custody document(s)? ®Yes[]No
Were samples received at an appropriate temperature(<6"C)? ®Yes❑No
3 ❑N/A
Were all QA/QC performance criteria specified in the CT DEP Reasonable Confidence
4 Protocol documents achieved? ®Yes❑No
a) Were reporting limits specified or referenced on the chain-of custody? ®Yes❑No
S
b) Were these reporting limits met? OYes[]No
6 For each analytical method referenced in this laboratory report package,were results
reported for all constituents identified in the method-specific analyte lists presented in the []Yes®No
Reasonable Confidence Protocol documents?
7 Are project-specific matrix spikes and laboratory duplicates included in this data set?
[]Yes®No
Notes:For all questions to which the response was"No"(with the exception of question#7),additional
information must be provided in an attached narrative.If the answer to question#1,#1 A,or#1 B is"No",the data
package does not meet the requirements for"Reasonable Confidence". This form may not be altered and all
questions must be answered.
I,the undersigned,attest under the pains and penalties of perjury that,to the best of my knowledge
and belief and based upon my personal inquiry of those responsible for providing the information
contained in this analytical report,sgeh ormation is accurate and complete.
Authorized Signature: Position: Laboratory Director
Printed Name: David Ditta Date: 5/17/2013
Name of Laboratory: Complete Environmental Testing,Inc.
This certification form is to be used for RCP methods only.
CTDEP RCP Laboratory Analysis QA/QC Certification Form-November 2007
Laboratory Quality Assurance and Quality Control Guidance Reasonable Confidence Protocols