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ACZ Laboratories, Inc. I• <br /> 2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 = • ' • <br /> FMI- Climax Mine Company ACZ Project ID: L65529 <br /> ZH0000076W Date Received: 04/28/2021 11:35 <br /> Received By: <br /> Date Printed: 4/29/2021 <br /> Receipt Verification <br /> YES NO NA <br /> 1) Is a foreign soil permit included for applicable samples? IX <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? IX <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 /> L65529-02 Container B2397428 (RED PC) : Added 1 mis nitric acid <br /> to the sub-sample to adjust the pH to the appropriate range. <br /> L65529-02 Container B2397430 (GREEN PD PC) : Added 0.5 mis <br /> nitric acid to the sub-sample to adjust the pH to the <br /> appropriate range. <br /> L65529-02 Container B2397431 (TAN) : Added 0.25 mis 5N sodium <br /> hydroxide and 0.25 mis zinc acetate to the sub-sample to adjust <br /> the pH to the appropriate range. <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 /> L65529-02 : A red, green, and tan container not received and a <br /> new container created from the raw . <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 /> REPAID LPII 2012-03 <br /> L65529-2105031604 Page 10 of 12 <br />