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n , i - <br /> ACZ Laboratories, Inc. <br /> ' 2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 " <br /> ARCADIS ACZ Project ID: L43069 <br /> B0025510.2018.00001 Date Received: 03/09/2018 10:22 <br /> Received By: <br /> ' Date Printed: 3/9/2018 <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 <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? X <br /> 1 YES NO NA <br /> 8)Are all containers intact and with no leaks? X <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 <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? <br /> 18)Were all samples received within hold time? X <br /> NA indicates Not Applicable <br /> 11111� mill- <br /> ' Cooler Id Temp(°C) Temp Rad(pR/Hr) Custody Seal <br /> Criteria(°C) Intact? <br /> --------- -------- ------------ ---------- ------------ <br /> 5062 5 <=6.0 16 Yes <br /> Was ice present in the shipment container(s)? <br /> Yes - Wet ice was 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 /> REPAD LPII 2012-03 <br /> L43069-1803191431 Page 11 of 14 <br />