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ADZI-aboratories, Inc. 2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 • Golder Associates ACZ Project ID: L20231 140-0159 Date Received: 08/28/2014 10:05 Received By: mtb Date Printed: 8/28/2014 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? —�1 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 A change was made in the Report to: section prior to ACZ custody. 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? FX 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 — CustodyChain of Client Contact Remarks Shipping Containers Cooler Id Temp (°C) Rad (pR/Hr) Custody Seal Intact? --------- --------- ----------- -------------------- 4078 3 6 N/A Was ice present in the shipment container(s)? Yes - Wet ice was 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 L20231-1409110853 Page 20 of 23