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ADZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 334-5493 <br />Fortune Revenue Silver Mines Inc ACZ Project ID: L24101 <br />*** PO REQUIRED *** Date Received: 05/02/2015 10:01 <br />Received By: ddp <br />Date Printed: 5/4/2015 <br />YES NO NA <br />1) Is a foreign soil permit included for applicable samples? X <br />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 <br />4) Are any samples NRC licensable material? X <br />5) If samples are received past hold time, proceed with requested short hold time analyses? X <br />6) Is the Chain of Custody complete and accurate? X <br />The date/time was entered on the COC per the information <br />present on the sample containers for sample(s) 1-2. <br />7) Were any changes made to the Chain of Custody prior to ACZ receiving the samples? X <br />Cooler Id Temp (°C) Rad (uR/Hr) Custody Seal Intact? <br />2551 2.6 14 Yes <br />Was ice present in the shipment container(s)? <br />Yes - Wet ice was present in the shipment container(s). <br />Client must contact an ACZ Project Manager if analysis should not proceed for samples received <br />outside of their thermal preservation acceptance criteria. <br />REPAD LPII 2012-03 <br />L24101-1505141447 Page 27 of 29 <br />YES NO NA <br />8) Are all containers intact and with no leaks? <br />X <br />9) Are all labels on containers and are they intact and legible? <br />X <br />10) Do the sample labels and Chain of Custody match for Sample ID, Date, and Time? <br />X <br />11) For preserved bottle types, was the pH checked and within limits? 1 <br />�X <br />12) Is there sufficient sample volume to perform all requested work? <br />X <br />13) Is the custody seal intact on all containers? <br />X <br />14) Are samples that require zero headspace acceptable? <br />X <br />15) Are all sample containers appropriate for analytical requirements? <br />X <br />16) Is there an Hg -1631 trip blank present? <br />X <br />17) Is there a VOA trip blank present? <br />X <br />18) Were all samples received within hold time? <br />X <br />Some parameters were received past hold time. <br />Cooler Id Temp (°C) Rad (uR/Hr) Custody Seal Intact? <br />2551 2.6 14 Yes <br />Was ice present in the shipment container(s)? <br />Yes - Wet ice was present in the shipment container(s). <br />Client must contact an ACZ Project Manager if analysis should not proceed for samples received <br />outside of their thermal preservation acceptance criteria. <br />REPAD LPII 2012-03 <br />L24101-1505141447 Page 27 of 29 <br />