2017-06-05_HYDROLOGY - M1977344

• Permit No: M1977344
• IBM Index Class Name: Hydrology
• Doc Date: 6/5/2017
• Doc Name: Water Monitoring - Groundwater
• From: Arcadis Design & Consulting / Holcim ‎(US)‎ Inc.
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

ACZ Laboratories, Inc.
2773 Downhill Drive Steamboat Springs, CO 80487 [phone]
ARCADIS ACZ Project ID: L35939
B0025510.2017.00001 Date Received: 03/10/2017 11:26
Received By:
Date Printed: 3/14/2017
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
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
CustodyChain of
ShippingClient Contact Remarks
.
Cooler Id Temp(°C) Temp Rad(uR/Hr) Custody Seal
Criteria(°C) Intact?
--------- -------- ------------ ---------- ------------
NA25674 3.2 <=6.0 13 Yes
Was ice present in the shipment container(s)?
Yes - Wet ice was present in the shipment container(s) .
Client must contact an ACZ Project Manager if analysis should not proceed for samples received
outside of their thermal preservation acceptance criteria.
REPAD LPII 2012-03
L35939-1703220858 Page 11 of 14