2019-05-09_INSPECTION - M1977300

• Permit No: M1977300
• IBM Index Class Name: INSPECTION
• Doc Date: 5/9/2019
• Doc Name: Inspection Problem Corrective Action
• From: Colorado Legacy Land
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

ADZ Laboratories, Inc. •
2773 Downhill Drive Steamboat Springs, CO 80487 [phone] •
Alexco Water and Environment Inc. ACZ Project ID: L50767
Date Received: 03/26/2019 11:41
Received By:
Date Printed: 3/26/2019
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? X
3) Does this project require special handling procedures such as CLP protocol? X
4)Are any samples NRC licensable material? 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? X
11) For preserved bottle types,was the pH checked and within limits? 1 X
12) Is there sufficient sample volume to perform all requested work? X
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
16) Is there an Hg-1631 trip blank present? X
17) Is there a VOA trip blank present? X
18)Were all samples received within hold time? X
NA indicates Not Applicable
Chain of . .
Client Contact Remarks
Shipping Containers
Cooler Id Temp(°C) Temp Rad(uR/Hr) Custody Seal
Criteria(°C) Intact?
3511 2.5 <=6.0 15 Yes
3693 3.3 <=6.0 17 Yes
3338 4.1 <=6.0 22 Yes
Was ice present in the shipment container(s)?
Yes - Wet ice was 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
L50767-1904151056 Page 36 of 38