2017-04-06_INSPECTION - M1980244 ‎(2)‎

• Permit No: M1980244
• IBM Index Class Name: Inspection
• Doc Date: 4/6/2017
• Doc Name: Response
• From: Newmont / CC&V
• To: DRMS
• Email Name: AME
• Media Type: D
• Archive: No

ACZ Laboratories, Inc.
2773 Downhill Drive Steamboat Springs, CO 80487 [phone]
Mid Continent Testing Labs, Inc ACZ Project ID.- L34283
Date Received. 11/22/2016 09.48
pt Verification
1) is a foreign soil permit included for applicable samples?
Received By -
Date Printed: 11/22/2016
YES NO NA
=771
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?
The sample matrix was entered per the requested quotation.
The 'sampled by' field on the Chain of Custody was not
completed.
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
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 X
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? X
15) Are all sample containers appropriate for analytical requirements? X
16) Is there an Hg -1631 trip blank present? X
17) Is there a VOA trip blank present? X
18) Were all samples received within hold time? X
Chain of Custody Related Remar
Shipping Containers
Cooler Id Temp(OC) Temp Rad(pR/Hr) Custody Seal
Criteria(OC) Intact?
NA25153 10.7 c-6.0 14 N/A
Was ice present in the shipment container(s)?
No - Wet or gel ice was not present in the shipment container(s).
REPAD LPII 2012-03
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