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

Lionville Laboratory Sample Discrepancy Report (SDR) SDR #: 06PM001
Initiator. Odette Johnson Batch: T Parameter: AW AVA, Y°^
Date: /1706 Samples: Mat ri
x:
Client: Method: swaesnacAVVwrcm P rep Batch:
1. Reason for SDR
a. COC Disc repancy _ Tech Profile Error _ C li
ent Request Sampler Error on C-O-C
Transcription Error _ Wrwg Test Code _ Other
b. General Discrepancy
_ Missing Sample/Extract _ Container B roken Wrong Sample Pulled _ Label ID's Illegible
Hold Time Exceeded
Improper Bot
Insufficient Sample Preservation Wrong _ Received Past Hold
tl
e Type _ Not Amenable to Analysis X Other
Note: Verified by [Log-In) or [Prep amp[ (drde) ... signeture/daw.
c. Problem (Include all relevant specific results; attach data If necessa ry)
On 5110/06 sample storage refrigerator ID# R003 malfunctioned and was not holding the required sample storage
temperature of 4'C +/- 2°C
2. Known or P robable Causes(s)
Broken motor
3..Discuss[on and P roposed Action.... Other Description:
_ Re-log At the time of malfunction R003 was used for storage of samples received
_ Entire Batch for extractable organics, metals and wet chemist ry (except TOC) analyses.
Following Samples: All samples were removed from R003 to another refrigerator on 5/10/06.
_ f e-Ieach R003 was tagged out on 5/10106, repaired on 5/12/06, and we have
_ Re-extract certified that R003 is maintaining the required sample storage temperature.
_ Re-digest
_ Revise EDD
Change Test Code to
_ Place On/Take Off Hold (circle)
4. Project Manager Instructions ... signaturefdate:
Concur with P ro posed Action
gree with Proposed Action; See Instruc
r
ti on
^/ nclude in Case Narrative
Client Conte
Date/Person ^i del l.t^ fGy^D^p
_ Add
Canoel
S. Fine -Acdon..sgnatureaate:
nfied re-[log][leach][extract]
K^Ihcluded in Case Narrative
_ Hard Copy COC Revised
Electronic CDC Revised
_ EDD Co
est)[analysi ] circi )
Other Explanation:
rr ec ti
ons Completed
When Final Action has been recorded, forward original to OA Specialist for dis tribu tion and filing.
Route Distribution of Completed SDR Route Distribution of Completed SDR
X Initiator _ _ Metals: Welsh
X Lab Manager. I. Daniels Inorganic: Perrone
X Project Mgr. Stone/Johnson _ GC/LC: IQger
Data Management: Stilwell _ MS: Schneider/Daley
_ Sample Prep: BeegleNger _ Log-in: Per ry
Admin:
Other.
oA-105-A-DW5
069960005