The VSSP is accurate, and there has been no deviation from the approved VSSP. (Y/N If no, explain below.) – Attach a copy of the original laboratory report from each sampling the quality assurance and quality control analysis of the sampling, analytical testing and analytical data, and the sampling technique and analytical testing method for each sample. I CERTIFY PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS WHO MANAGE THE SYSTEM OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILIITY OF FINES AND IMPRISONMENT FOR KNOWING VIOLATIONS. NAME, OF PRINCIPAL EXECUTIVE OFFICER SIGNATURE ( ) DATE TELEPHONE COMMENT AND EXPLANATION OF ANY VIOLATIONS AND DETAILS OF CORRECTIVE ACTIONS (REFERENCE ALL ATTACHMENT HERE)
The VSSP is accurate, and there has been no deviation from the approved VSSP. (Y/N – If no, explain below.) Attach a copy of the original laboratory report from each sampling the quality assurance and quality control analysis of the sampling, analytical testing and analytical data, and the sampling technique and analytical testing method for each sample. I CERTIFY PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS WHO MANAGE THE SYSTEM OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILIITY OF FINES AND IMPRISONMENT FOR KNOWING VIOLATIONS. NAME, OF PRINCIPAL EXECUTIVE OFFICER SIGNATURE ( ) DATE TELEPHONE COMMENT AND EXPLANATION OF ANY VIOLATIONS AND DETAILS OF CORRECTIVE ACTIONS (REFERENCE ALL ATTACHMENT HERE)
2010_GP_Scanship_DMR_2013.docx