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ACZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Sxinos. CO 80487 (800) 334-5493 <br />Twentymile Coal Co. ACZ Project ID: L28766 <br />451843693 Date Received: 01/29/2016 09:24 <br />Received By: ddp <br />Date Printed: 1/29/2016 <br />YES NO NA <br />1) Is a foreign soil permit included for applicable samples? <br />X <br />2) Is the Chain of Custody form 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 form complete and accurate? x <br />7) Were any changes made to the Chain of Custody form prior to ACZ receiving the samples? x <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 form match for Sample ID, Date, and Time? x <br />11) For preserved bottle types, was the pH checked and within limits? 1 x <br />12) Is there sufficient sample volume to perform all requested work? x <br />13) Is the custody sea[ intact on all containers? x <br />14) Are samples that require zero headspace acceptable? x <br />15) Are all sample containers appropriate for analytical requirements? x <br />L28766-01 : A Red container not received and a new container <br />created from the Raw . <br />L28766-02 : A Red container not received and a new container <br />created from the Raw . <br />16) Is there an Hg -1631 trip blank present? x <br />17) Is there a VOA trip blank present? x <br />18) Were all samples received within hold time? x <br />Cooler Id Temp(*C) Temp Rad(pR/Hr) Custody Seal <br />Criteria(*C) Intact? <br />--------- -------- ------------ ---------- ------------ <br />NA23306 3.1 NA 14 N/A <br />Was ice present in the shipment container(s)? <br />No - Wet or gel ice was not present in the shipment container(s). <br />REPAD LPII 2012-03 <br />L28766-1602051655 Page 10 of 12 <br />