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j <br />D CCUTEST. Accutest Laboratories Sample Receipt Summary <br />t.w®oawtowiea <br />Accutest Job Number: D68937 Client: BRAUN ENVIRONMENTAL <br />Date/ Time Received: 3/23/2015 11:32:00 AM Delivery Method: <br />Cooler Temps (Initial /Adjusted): #1:(3.7/3.7): <br />Cooler Security Y <br />1. Custody Seals Present: 2 <br />or N Y or N <br />❑ 3. COC Present: R ❑ <br />2. Custody Seals Intact: 2 <br />❑ 4. Smpl DatesTme OK ® ❑ <br />CoolerTemoerature <br />1. Temp criteria achieved: <br />Y or N <br />R ❑ <br />2. Cooler temp verification: <br />IR Gun; <br />3. Cooler media: <br />Ice (Bag) <br />4. No. Coolers: <br />1 <br />QualU Control Preservation <br />Y or N NIA <br />❑ ❑ <br />1. Trip Blank present / cooler. <br />2. Trip Blank listed on COC: <br />❑ ❑ 2 <br />3. Samples preserved property: <br />R ❑ <br />4. VOCs headspace free: <br />❑ ❑ R <br />Comments <br />Acwtest Laboratories <br />V:(303) 425.6021 <br />Project: LUCKY STRIKE 01 <br />Airbill #'s: hd <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 />1. Analysis requested is Gear. <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 YowgBeld Street <br />F:(303)425 -6854 <br />Y or N <br />2 ❑ <br />2 ❑ <br />2 ❑ <br />Y or N <br />El <br />❑� ❑ <br />Intact <br />2 <br />❑ <br />2 <br />❑ <br />❑ <br />❑ <br />2 <br />❑ <br />❑ <br />2 <br />Wheat Ridge, CO <br />wwvdaccutest.com <br />D68937: Chain of Custody <br />Page 2 of 2 <br />11111113 20 of 42 <br />ACCUTEST. <br />D68937 <br />