2019-05-29_PERMIT FILE - M2019031 ‎(7)‎

• Permit No: M2019031
• IBM Index Class Name: Permit File
• Doc Date: 5/29/2019
• Doc Name: Application
• From: Atlas Mining and Reclamation LLC
• To: DRMS
• Email Name: THM
• Media Type: D
• Archive: No

ADZ Laboratories, Inc. _ ' •
2773 Downhill Drive Steamboat Springs, CO 80487 [phone] •
eardon Steel LLC ACZ Project ID: L49574
Date Received: 01/25/2019 10:56
Received By:
Date Printed: 1/28/2019
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? X _
3) Does this project require special handling procedures such as CLP protocol? X
4)Are any samples NRC licensable material? T
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? r X
17)Is there a VOA trip blank present?
18)Were all samples received within hold time? X
NA indicates Not Applicable
Custody
The'Relinquished By'field on the COC was not completed. The project manager is contacting the client.
ShippingClient Contact Remarks
.
Cooler Id Temp(°C) Temp Rad(pR/Hr) Custody Seal
Criteria(°C) Intact?
NA29916 12.7 NA 18 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
L49574-1902071612 Page 26 of 28