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Laboratories, Inc. <br /> 2773 Donnhdl Drive Steamboat Springs, CO 80487 (800)334-5493 <br /> Lewicki &Associates ACZ Project ID: L37726 <br /> Date Received: 06/09/2017 12:59 <br /> Received By: <br /> Date Printed: 7/10/2017 <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 -T^ <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? <br /> YES NO NA <br /> 8 Are all containers intact and with no leaks? <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 seal intact on all containers? _ _-X-_-J <br /> 14)Are samples that require zero headspace acceptable? X <br /> 15)Are all sample containers appropriate for analytical requirements? X <br /> 16) Is there an Hg-1631 trip blank present? X <br /> 17) Is there a VOA trip blank present? 1 X <br /> 18)Were all samples received within hold time? ` _ X- y- - �-_ <br /> The'Relinquished By'field on the COC was not completed. The project manager is contacting the client. <br /> Cooler Id Temp(IC) Temp Rad(pR/Hr) Custody Seal <br /> Criteria(°C) Intact: <br /> --------- -------- ------------ ---------- ------------ <br /> NA26230 23 <=6.0 13 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 /> Client must contact an ACZ Project Manager if analysis should not proceed for samples received <br /> outside of their thermal preservation acceptance criteria. <br /> REPAAD LPII 2012-03 <br /> L3772c-1707201644 Page 17 of 19 <br />