2016-12-28_HYDROLOGY - M2012032

• Permit No: M2012032
• IBM Index Class Name: HYDROLOGY
• Doc Date: 12/28/2016
• Doc Name Note: Request to Discontinue Monitoring
• From: Ouray Silver Mines
• To: DRMS
• Email Name: THM
• Media Type: D
• Archive: No

ACZ Laboratories, Inc. '
2773 Downhill Drive Steamboat Springs, CO 80487 [phone] •
Ouray Silver Mines ACZ Project ID: L34107
RSM150224 Date Received: 11/11/2016 10:29
Received By:
Date Printed: 11/11/2016
Receipt Verification
YES NO NA
1)Is a foreign soil permit included for applicable samples? X
2)Is the Chain of Custody form or other directive shipping papers present? X - - - -_
3)Does this project require special handling procedures such as CLP protocol? X
4)Are any samples NRC licensable material? X
5)If samples are received past hold time, proceed with requested short hold time analyses? �X
6)Is the Chain of Custody form complete and accurate? X
7)Were any changes made to the Chain of Custody form prior to ACZ receiving the samples? X '
YES NO NA
8)Are all containers intact and with no leaks? - X '
L34107-01 Container B1778143 (ORANGE) : This container was
received broken and the associated analysis were removed from
the project.
L34107-01 Container B1778144 (ORANGE) : This container was
received broken and the associated analysis were removed from
the project.
9)Are all labels on containers and are they intact and legible? X '
10)Do the sample labels and Chain of Custody form match for Sample ID, Date,and Time? X --'
11)For preserved bottle types,was the pH checked and within limits? 1 ff X T
12)Is there sufficient sample volume to perform all requested work? X
13)Is the custody seal intact on all containers? X
14)Are samples that require zero headspace acceptable? 1 X I
15)Are all sample containers appropriate for analytical requirements? X- 7
16)Is there an Hg-1631 trip blank present? X
17)Is there a VOA trip blank present? - T X
18)Were all samples received within hold time? X
CustodyChain of
Client Contact Remarks
Shipping Containers
Cooler Id Temp('C) Temp Rad(uR/Hr) Custody Seal
Criteria(°C) Intact?
--------- -------- ------------ ---------- ------------
4327 4 <=6.0 14 Yes
REPAD LPII 2012-03
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