2014-09-26_PERMIT FILE - M2014045

• Permit No: M2014045
• IBM Index Class Name: Permit File
• Doc Date: 9/26/2014
• Doc Name: Acid Rock Report
• From: Braun Environmental, Inc.
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

A CZ Laboratories, Inc. _ ' •
2773 Downhill Drive Steamboat Springs, CO 80487 [phone] = - •
Braun Environmental, Inc. ACZ Project ID: L19264
MH-01 Date Received: 07/07/2014 12:28
Received By: ear
Date Printed: 7/7/2014
Receipt Verification
YES NO NA
1)Is a foreign soil permit included for applicable samples? X
2) Is the Chain of Custody or other directive shipping papers present? X
3) Does this project require special handling procedures such as CLP protocol? X
4)Are any samples NRC licensable material? X
5)If samples are received past hold time, proceed with requested short hold time analyses? X
6) Is the Chain of Custody complete and accurate? X
7)Were any changes made to the Chain of Custody prior to ACZ receiving the samples? X
YES NO NA
8)Are all containers intact and with no leaks? X
9)Are all labels on containers and are they intact and legible? X
10) Do the sample labels and Chain of Custody match for Sample ID, Date, and Time? X
11) For preserved bottle types,was the pH checked and within limits? X
12) Is there sufficient sample volume to perform all requested work? X
13) Is the custody seal intact on all containers? X
14)Are samples that require zero headspace acceptable? X
15)Are all sample containers appropriate for analytical requirements? X
16) Is there an Hg-1631 trip blank present? X
17) Is there a VOA trip blank present? X
18)Were all samples received within hold time? X
i
CustodyChain of
Remarks
ShippingClient Contact Remarks
.
Cooler Id Temp (°C) R,4 (PR/Hr) Custody Seal Intact?
--------- --------- -------- --------------------
NA19971 22.7 12i N/A
Was ice present in the shipment container(s)?
No - Wet or gel ice was not present in the shipment container(s) .
Client must contact an ACZ Project Manager if analysis should not proceed for samples received
outside of their thermal preservation acceptance criteria.
REPAD LPII 2012-03
L19264-1407281030 Page 11 of 14