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ACZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 334-5493 <br />Twentymile Coal Co. ACZ Project ID: L28772 <br />451843693 Date Received: 01/29/2016 11:44 <br />Received By: ddp <br />Date Printed: 1/29/2016 <br />.,+�., a.i" �-ry ,N .xi;y,,. * .�... ". v�+ raP.�'''.•`' s�'i,"- .�;,., y.,u. r" <br />r � .+«. rF• _ .t'.-:; Qr,' � - ,< .f°rj� :«... C�",�pra a"fi'>.' °°:'? ,'; •',� "i''"�.:. , a 'fs:.riSA j,��`"` aµ Via; ry�'� M <br />YES NO NA <br />1) Is a foreign soil permit included for applicable samples? 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 />The sample matrix was entered per the requested quotation. <br />7) Were any changes made to the Chain of Custody form prior to ACZ receiving the samples? X <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 form 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 />L28772-01 Container B1679045 (VIAL P): This vial contains <br />headspace. <br />L28772-01 Container B1679046 (VIAL P): This vial contains <br />headspace. <br />L28772-01 Container B1679047 (VIAL P): This vial contains <br />headspace. <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 />Cooler Id Temp(°C) Temp Rad(NR/Hr) Custody Seal <br />Criteria(°C) Intact? <br />--------- -------- ------------ ---------- ------------ <br />4653 3.1 <=6.0 16 N/A <br />REPAD LPII 2012-03 <br />YES NO <br />--X --- <br />X <br />X <br />X <br />X <br />NA <br />X <br />X <br />X <br />X <br />X - <br />. <br />L28772-1602081201 Page 23 of 36 <br />