2019-02-13_HYDROLOGY - M2012032

• Permit No: M2012032
• IBM Index Class Name: HYDROLOGY
• Doc Date: 2/13/2019
• Doc Name: Treatment Pilot Test Materials Handling
• From: Ouray Silver Mines
• To: DRMS
• Email Name: THM
• Media Type: D
• Archive: No

ACZ Laboratories, Inc. "
2773 Downhill Drive Steamboat Springs, CO 80487 [phone] = •
Ouray Silver Mines ACZ Project lD: L48502
Date Received: 11/29/2018 11:22
Received By:
Date Printed: 11/30/2018
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? I X
3)Does this project require special handling procedures such as CLP protocol? [ X
4)Are any samples NRC licensable material? I 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? LX F
11)For preserved bottle types,was the pH checked and within limits? 1 I I X I
12)Is there sufficient sample volume to perform all requested work? F
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 I
16)Is there an Hg-1631 trip blank present? L X
17)Is there a VOA trip blank present? IX
18)Were all samples received within hold time? X
NA indicates Not Applicable
CustodyChain of
ShippingClient Contact Remarks
Cooler Id Temp(°C) Temp Rad(µR/Hr) Custody Seal
Criteria(*C) Intact?
--------- -------- ------------ ---------- ------------
NA29588 10.5 NA 15 N/A
Was ice present in the shipment container(s)?
No - Wet or gel ice was not 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
L48502-1901031643 Page 30 of 32