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ACZ Laboratories, Inc. ' <br /> 2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 • <br /> ICltasca Denver, Inc. ACZ Project ID: L43424 <br /> CCV_4059-3 Date Received: 03/29/2018 08:40 <br /> Received By: <br /> Date Printed: 3/29/2018 <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? I XF <br /> 3) Does this project require special handling procedures such as CLP protocol? X <br /> 4)Are any samples NRC licensable material? <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 <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? X <br /> 18)Were all samples received within hold time? X <br /> Some parameters were received past hold time. <br /> NA indicates Not Applicable <br /> CRW6ustody <br /> ContactClient <br /> Shipping <br /> Cooler Id Temp(°C) Temp Rad(}iR/Hr) Custody Seal <br /> Criteria(°C) Intact? <br /> UNKNOWN NA <br /> Was ice present in the shipment container(s)? <br /> No - Wet or gel ice was not 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 /> L43424-1805031420 Page 28 of 47 <br />