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ACZ Laboratories, Inc. • <br /> 2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 • <br /> ' ARCADIS ACZ Project ID: L50666 <br /> B0025510.2019.00001 Date Received: 03/21/2019 10:49 <br /> Received By: <br /> ' Date Printed: 3/21/2019 <br /> Receipt Verification <br /> YES NO NA <br /> 1) Is a foreign soil permit included for applicable samples? F__F <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 /> 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 F <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 /> r14)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? X <br /> 18)Were all samples received within hold time? X <br /> NA indicates Not Applicable <br /> CustodyChain of <br /> ShippingClient Contact Remarks <br /> . <br /> ' Cooler Id Temp(°C) Temp Rad(µR/Hr) Custody Seal <br /> Criteria(°C) Intact? <br /> 4752 1.7 <=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 /> L50666-1904021417 Page 11 of 14 <br />