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Sample <br /> 1 <br /> ACZ Laboratories, Inc. p <br /> I2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 Receipt <br /> Golder Associates ACZ Project ID: L21518 <br /> 140-0159 Date Received: 1 1/12/2014 1 1:22 <br /> I <br /> Received By: ddp <br /> Date Printed: 11/12/2014 <br /> I Receipt Verification <br /> YES NO NA <br /> 1) Is a foreign soil permit included for applicable samples'? j f X <br /> I 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 1 <br /> I4) Are any samples NRC licensable material? 1 X <br /> 5) If samples are received past hold time proceed with requested short hold time analyses'? X ! , <br /> I 6) Is the Chain of Custody complete and accurate'? X <br /> AM <br /> 7) Were any changes made to the Chain of Custody receiving samples'? <br /> ' <br /> y g y prior to ACZ receivin the sam les. X <br /> I Samples/Containers <br /> YES NO NA <br /> 8)Are all containers intact and with no leaks? X ` <br /> 9)Are all labels on containers and are they intact and legible'? X <br /> 10) Do the sample labels and Chain of Custody match for Sample ID, Date, and Time? _ X_Mill <br /> L21518-03 Container B1531605 (RAW) : The ID on the sample label <br /> I is MW-1, and on the COC the ID is MW-3. The sample ID was <br /> entered per the COC. <br /> L21518-03 Container B1531606 (WHITE) : The ID on the sample <br /> II <br /> label is MW-1, and on the COC the ID is MW-3. The sample ID <br /> was entered per the COC. <br /> L21518-03 Container B1531607 (GREEN) : The ID on the sample <br /> I label is MW-1, and on the COC the ID is MW-3. The sample ID <br /> was entered per the COC. <br /> 11) For preserved bottle types,was the pH checked and within limits? X <br /> ' 12) Is there sufficient sample volume to perform all requested work? X <br /> 13) Is the custody seal intact on all containers? <br /> Y X <br /> 14) Are samples that require zero headspace acceptable? I X <br /> 15)Are all sample containers appropriate for analytical requirements? X <br /> Is there an Hg-1631 trip blank present? _ X I16) <br /> 17) Is there a VOA trip blank present? X <br /> 18) Were all samples received within hold time? X <br /> IChain of Custody Related Remarks <br /> Client Contact Remarks <br /> I <br /> Shipping Containers <br /> I Cooler Id Temp (°C) Rad (pR/Hr) Custody Seal Intact? <br /> 4165 1.5 14 Yes <br /> REPAD LPII 2012-03 <br /> IL21518-1412031346 Page 21 of 24 <br />