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SAF-RC-047 100 & 300 Area Component of the ... - Hanford Site

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_WrrvurV r..duvrdtory -)ampie<br />

Initiator. Orlette Johnson Batch: ^<br />

Date: §117106 Samples:<br />

Client: dQt Method:<br />

<strong>RC</strong>oLi7<br />

1. Reason for SDR<br />

ncy Keport (ZwK) 111 - ' to o rr<br />

Parameter:<br />

Matrix: i] A<br />

Prep Batch:<br />

a. COC Disc repancy , Tech P r<strong>of</strong>ile Error Client Request Sampler Error on C-O-C<br />

Transc ri ption Error _ Wrong Test Code _ O<strong>the</strong>r<br />

b. General Discrepancy<br />

Missing Sample/Extract _ Container B roken Wrong Sample Pulled _ Label ID's Illegible<br />

Hold Time Exceeded Insufficient Sample Preserva ti on Wrong _ Received Past Hold<br />

_ Imp roper Bottle Type _ Not Amenable to Analysis X O<strong>the</strong>r<br />

Note`: Verified by (Logan] or [Prep Group] (circle) ... signaturelcI ta:<br />

c. Problem (Include all relevant spe cific results; attach data if necessa ry)<br />

On 5/10106 sample storage refrigerator ID# R003 malfunctioned and was not holding <strong>the</strong> required sample storage<br />

temperature <strong>of</strong> 4°C +/- 2°C<br />

2. Known or P robable Causes(s)<br />

B ro ken motor<br />

3-Discussion and Proposed Action O<strong>the</strong>r Desc ri ptions<br />

_ Re-log At <strong>the</strong> time <strong>of</strong> malfur ^tion R003 was used for storage <strong>of</strong> samples received<br />

_ En tire Batch for extractable organics, metals and wet chemist ry (except TOG) analyses.<br />

Following Samples: All samples we re removed from R003 to ano<strong>the</strong>r refrigerator on 5110/06.<br />

_ Re-leach R003 was tagged out on 5/10106, repaired on 5112/06, and we have<br />

_ Re-extractcertified fiat R003 is maintaining <strong>the</strong> required sample storage temperatu re.<br />

_ Re-digest<br />

Revise EDD<br />

_ Change Test Code to<br />

_ Place On/Take Off Hold (circle)<br />

4. Project Manager Instructions ... signaturerdate:<br />

Concur with Proposed Ac ti on<br />

ag ree with Proposed Action; See Instruc ti on<br />

nclude In Case Narrative<br />

Client Conta ^''<br />

Date/Person t3 G`40<br />

_ Add<br />

Cancel<br />

5. Final Action ... s4nature/dau O<strong>the</strong>r Explanation:<br />

_ VoRed rei4][leach][e ][digest][ n lysisJ clil<br />

eluded in Case Narrative<br />

_ Hard Copy COC Revised<br />

Elect ro nic COC Revised<br />

_ EDD Cor rections Completed<br />

When Final Action has been recorded, forward original to QA Specialist for distribution and filing.<br />

Route Distribu ti on <strong>of</strong> Completed SDR Route Distribution <strong>of</strong> Completed SDR<br />

X Ini ti ator_ Metals: Welsh<br />

X Lab Manager. I. Dan' _ _ Inorganic: Perrone<br />

X P roject Mgr. Ston ohnso GC/LC: Kiger<br />

_ Data Management MS: Schnsider/Beley C6t r0(C rL<br />

_ Sample P rep: Beegle/Kiger — _— Login: Per ry<br />

b,<br />

Admin:<br />

O <strong>the</strong>r.<br />

c `^r6^`'<br />

QA-105-A-0805<br />

13 00000004

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