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ADZ Laboratories, Inc. <br /> cJurmy Silver Mines ACZ Project|D: L43206 <br /> 153178 Date Received: 03/16/20180934 <br /> Received By: <br /> Date Printed: 3/19/2018 <br /> Ak <br /> YES NO NA <br /> 1) |eo foreign soil permit included for applicable samples? K � <br /> � ��_ <br /> 2)|a the Chain of Custody form o,other directive shipping papers present? <br /> 8) Does this project require special handling procedures such ooCLPprotocol? <br /> 4)Are any samples NRC licensable material? <br /> 5) If samples are received past hold time, proceed with requested short hold time analyses? <br /> 8) |o the Chain of Custody form complete and accurate? <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 noleaks? FX <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 pM checked and within limits? 1 <br /> 12) |a there sufficient sample volume to perform all requested work? <br /> 13)|o the custody seal intact on all containers? <br /> 14)Are samples that require zero hoedapauoacceptable? <br /> 15)Are all sample containers appropriate for analytical requirements? <br /> 18) Is there on Mg'1031 trip blank present? <br /> 1T)|u there a VOA trip blank present? <br /> 18)Were all samples received within hold time? <br /> wA indicates Not Applicable <br /> Cooler zu zenp<°c> Temp oad(vR/or) cootouv Seal <br /> Criteria(IC) Intact? <br /> 3o4z «.0 "~o.o 13 N/A <br /> Was ice present/n the shipment nontainor(s)? <br /> Yes Wet ice was present in the shipment 000tainez(o) . <br /> Client must contact an ACZ Project Manager if analysis should not proceed for samples received <br /> outside o,their thermal preservation acceptance criteria. <br /> nEpAoLP||uo1u'on <br /> L43205-1803231004 Page 2Oof22 <br />