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QUANTERRA LABORATORY NONCONFOR:N L-kNCE VIEmO (NCNI)<br />

PAGE 1 OF 2<br />

Project ID:<br />

Sample Numbers:<br />

r<br />

M<br />

NCM mriated by<br />

0 32 -7,202 D 03^7^a<br />

Tests: —f^o<br />

Matrix: y ^l u / D^ 7<br />

Analytical Area (cheek soorooriate area):<br />

LOG =: RD-98,<br />

• Sample control q GC Cl Wttchemistry l O-lData review<br />

• Organic preparation q HPLC q heals P'Rkadiochemistry<br />

• Inorganic p reparation q GC/MS q Reporting q Bioassay<br />

Nonconformance (check appropriate area):<br />

Holding Time rzolations (exceeded by days) QuAyAssurance/Quality Control<br />

Category 1. Laboratory Independent q 17. QC data repo rted outside of controls<br />

q I. Holding time expired in transit q 13. Incorrect procedure used<br />

q 2. Sample received > 48 hrs. or I/2 holding time has<br />

expired<br />

q 19. SOP intentionally modified tivith QA and Tech. approval<br />

q 3. Test added by client after expiration q 20. Imalid instrument calibration<br />

Category Il: Laborator y Dependent<br />

q 4. Instrument failure<br />

Cl 21- Insu ffi<br />

cient sample received for proper analysis<br />

Incomyror Incomplete Client Deliverable<br />

q 5. Analyst error q 2 Hardcopy deliverable error<br />

q 6. Login error q -13. Electronic deliverable error<br />

q 7. Miscommunication<br />

Reported detection limits eleti-ated due to:<br />

q 8. Other (complete description required) q 24. Sample matrix<br />

Category III: Analysis Reruns (OA, QC) q 2i. Insufficient sample volume<br />

q 9.<br />

IQ<br />

Surrogates<br />

Inte<br />

q 26- Other (complete description required)<br />

27. Other (specify): _<br />

ZL CGh- `C<br />

rn al Standards<br />

q 11. Spike Reco • eries<br />

q 1 2. Blank Contamination<br />

Category Il'. .anal.sis Rerms (Conf+nrtation)<br />

q 13. Second column<br />

q 1 4. Contamination check<br />

q 15. Confirmation of matrix effects<br />

q 16. Other (complete desc ription required)<br />

Noti fi cation ( check appropriate area):<br />

Com>¢nts/Espla^ination<br />

Client noti fied by (name and date): Client "s name and respon s e<br />

d<br />

VtSu ` do ^, f _<br />

GU! 71{7 ^E?L t /<br />

q jtf «Hung q by facsimile q process "as is" q re-_ t mple<br />

be telephone . Ap othe (explain) Z,2, I jo jli hold until q otSer (explain)<br />

Project Manager (signature and date): l f z<br />

0058

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