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ACZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 334 -5493 <br />Golder Associates ACZ Project ID: L16930 <br />10381640 Date Received: 02/20/2014 09:48 <br />Received By: mtb <br />Date Printed: 2/20/2014 <br />Receipt Verification <br />YES NO NA <br />1) Is a foreign soil permit included for applicable samples? X <br />2) Is the Chain of Custody or other directive shipping papers present? X <br />3) Does this project require special handling procedures such as CLP protocol? X <br />4) Are any samples NRC licensable material? X <br />5) If samples are received past hold time, proceed with requested short hold time analyses? <br />6) Is the Chain of Custody complete and accurate? <br />7) Were any changes made to the Chain of Custody prior to ACZ receiving the samples? <br />A change was made in the Samplers Site Information and <br />Date:Time Line 1 section prior to ACZ custody. <br />8) Are all containers intact and with no leaks? <br />9) Are all labels on containers and are they intact and legible? <br />10) Do the sample labels and Chain of Custody match for Sample ID, Date, and Time? <br />11) For preserved bottle types, was the pH checked and within limits? <br />12) Is there sufficient sample volume to perform all requested work? <br />13) Is the custody seal intact on all containers? <br />14) Are samples that require zero headspace acceptable? <br />15) Are all sample containers appropriate for analytical requirements? <br />16) Is there an Hg -1631 trip blank present? <br />17) Is there a VOA trip blank present? <br />18) Were all samples received within hold time? <br />X <br />_ X -- <br />X <br />YES NO NA <br />X <br />X <br />X <br />X -� <br />X <br />X <br />X <br />-.._ X <br />� XX� <br />I I <br />� x <br />Cooler Id Temp ( °C) Rad (pR /Hr) Custody Seal Intact? <br />3910 1.2 19 Yes <br />Was ice present in the shipment container(s)? <br />Yes - Wet ice was present in the shipment container(s). <br />Client must contact an ACZ Project Manager if analysis should not proceed for samples received <br />outside of their thermal preservation acceptance criteria. <br />REPAD LPII 2012 -03 <br />L16930- 1403041518 <br />Page 21 of 23 <br />