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ACCUTEST Accutest Laboratories Sample Receipt Summary <br />L A B O H A T O H I[ 6 <br />Accutest Job Number: D65260 Client: BRAUN <br />Date/ Time Received: 12/4/2014 11:20:00 AM Delivery Method: <br />Cooler Temps (Initial /Adjusted): #1: (2.7/2.7): <br />Cooler Security Y or N <br />Y or N <br />1. Custody Seals Present: R <br />❑ 3. COC Present: <br />R ❑ <br />2. Custody Seals Intact: R <br />❑ 4. Smpl <br />Dates/Time OK <br />® ❑ <br />Cooler Temperature <br />Y or N <br />1. Temp criteria achieved: <br />R ❑ <br />2. Cooler temp verification: <br />Bar Therm; <br />3. Cooler media: <br />Ice (Bag) <br />4. No. Coolers: <br />1 <br />Quality Control Preservation <br />Y or N <br />N/A <br />1. Trip Blank present / cooler: <br />❑ ❑ <br />❑ <br />2. Trip Blank listed on COC: <br />❑ ❑ <br />❑ <br />3. Samples preserved properly: <br />R ❑ <br />4. VOCs headspace free: <br />❑ ❑ <br />❑ <br />Comments <br />A'titest Laboratories <br />V:(303) 425 -6021 <br />Project: <br />Airbill #'s: FX <br />Sample Integrity - Documentation <br />1. Sample labels present on bottles: <br />2. Container labeling complete: <br />3. Sample container label / COC agree: <br />Sample Integrity - Condition <br />1. Sample recvd within HT: <br />2. All containers accounted for <br />3. Condition of sample: <br />Sample Integrity - Instructions <br />1. Analysis requested is clear: <br />2. Bottles received for unspecified tests <br />3. Sufficient volume recvd for analysis: <br />4. Compositing instructions clear: <br />5. Filtering instructions clear: <br />4036 Youngfeld Street <br />F:(303)425 -6854 <br />Y or N <br />® ❑ GJt <br />Y or N <br />R El <br />R ❑ <br />Intact <br />Y or N N/A <br />® ❑ <br />® ❑ <br />❑ ❑ <br />Wheat Ridge, CO <br />w /accutest.com <br />D65260: Chain of Custody <br />Page 2 of 2 <br />Eli 20 of 42 <br />O ACCUTEST. <br />D65260 ` °` ° " "° " "a <br />