Get Ambient Air Protocol Gas Verification Program Chain Of Custody Form. Ambient Air Protocol Gas

Completing the Ambient Air Protocol Gas Verification Program Chain Of Custody Form is crucial for ensuring accurate tracking and verification of gas samples. This guide provides clear, step-by-step instructions to assist users in filling out the form correctly and efficiently.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the form, ensuring it opens in your chosen editor.
2. Begin by filling out the 'Monitoring Organization' field with the name of the organization monitoring the gas samples. Next, provide the 'Point of Contact' who will handle communications regarding this document.
3. Enter the 'Primary Quality Assurance Organization Code' associated with your monitoring organization. Fill in the 'Producer Name' and the contact details of the producer's representative in the correct fields.
4. Complete the 'Producer Manufacturing Location Address' by specifying the full address where the gas was manufactured. Make sure to include the street address, city, state, and zip code.
5. Provide the 'Producer Contact Phone Number' and 'Producer Contact E-Mail' in the respective fields to facilitate further communication.
6. Fill in the 'Specialty gas vendor has verified the standard by comparison to:' field, noting the specific standard reference method used for verification.
7. Enter the 'Stamped Cylinder #' followed by the 'Pressure' in psig, and indicate the 'Certification Expiration Date' clearly.
8. In the 'Constituents' section, specify the concentrations of SO2, NO, CO2 and, if applicable, include any additional constituents such as O2 and CO, along with their respective concentrations and analytical uncertainty.
9. Document the 'Receipt Date of cylinder from supplier' and ensure the 'Received By' field is filled with the name of the person receiving the cylinder.
10. Indicate the 'Date Shipped to Laboratory' and provide the 'Shipping Mode & Carrier' along with the tracking number.
11. Ensure to send this Chain of Custody (COC) form with the cylinder and email the form to the designated laboratory.
12. On receipt of the cylinder, the laboratory completes their section, including the 'Laboratory Receipt Date' and who received the shipment.
13. Verify integrity, accuracy of contents, and confirm any seal conditions like shrink wrapping. All findings should be recorded clearly.
14. Finally, document the shipping details back to the monitoring organization, including confirming cylinder pressure and tracking information.
15. Once all sections are completed, save your changes, download a copy, and consider printing or sharing the document as necessary.

Complete your documents online today to ensure a smooth gas verification process.