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ACZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 334-5493 <br />Golder Associates <br />ACZ Project ID: L24573 <br />Date Received: 05/28/2015 10:33 <br />Received By: ddp <br />Date Printed: 5/28/2015 <br />1) Is a foreign soil permit included for applicable samples? <br />' 2) Is the Chain of Custody or other directive shipping papers present? <br />3) Does this project require special handling procedures such as CLP protocol? <br />' 4) Are any samples NRC licensable material? <br />5) If samples are received past hold time, proceed with requested short hold time analyses? <br />6) Is the Chain of Custody complete and accurate? <br />7) Were any changes made to the Chain of Custody prior to ACZ receiving the samples? <br />1 <br />8) Are all containers intact and with no leaks? <br />9) Are all labels on containers and are they intact and legible? <br />10) Do the sample labels and Chain of Custody match for Sample ID, Date, and Time? <br />11) For preserved bottle types, was the pH checked and within limits? 1 <br />12) Is there sufficient sample volume to perform all requested work? <br />13) Is the custody seal intact on all containers? <br />14) Are samples that require zero headspace acceptable? <br />15) Are all sample containers appropriate for analytical requirements? <br />16) Is there an Hg -1631 trip blank present? <br />17) Is there a VOA trip blank present? <br />18) Were all samples received within hold time? <br />YES NO NA <br />X <br />Ex <br />C <br />�C <br />I X <br />F <br />Q.. X <br />YES NO NA <br />T- <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />Cooler Id Temp (°C) Rad (pR/Hr) Custody Seal Intact? <br />--------- --------- ----------- -------------------- <br />4504 1.5 13 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 />IL24573-1506081348 Page 19 of 21 <br />