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E. Other<br />

1. Are all nonconformances included and noted?<br />

2. Is the cormct date and time of analysis shown?<br />

Review Item ( Yes<br />

( ^)<br />

3. Did the analyst sign and date the frmt page of the analytical tmm?<br />

4. Correct methodology used?<br />

5. Transcrip tions chocked?<br />

No<br />

(V)<br />

N/A 20 Level<br />

Review (^)<br />

6. Calculations checked at minimum frequenc y? 3 ^/<br />

7. Units checked?<br />

Comments on any "No" response:<br />

Analyst: Kw Lz e 7 ^ ^O n ^ Date:<br />

Second-Level Review: 12 Ie Date: 3/4/"<br />

Form No. CG-191. Rev. 2,1/97<br />

page 2 of 2 Go b<br />

i

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