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ACZ Laboratories, Inc. _ " • <br /> 2773 Downhill Ddve Steamboat Spnngs, CO 80487 (800)334-5493 • <br /> Ensero Solutions ACZ Project ID: L68577 <br /> 3100-P0205 Date Received: 09/17/2021 10:21 <br /> Received By: <br /> Date Printed: 9/20/2021 <br /> Receipt Verification <br /> YES NO NA <br /> 1)Is a foreign soil permit included for applicable samples? 1 �X —1 <br /> 2)Is the Chain of Custody form or other directive shipping papers present? 17X <br /> 3)Does this project require special handling procedures such as CLP protocol? X <br /> 4)Are any samples NRC licensable material? F I F 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? F X- <br /> 7)Were any changes made to the Chain of Custody form prior to ACZ receiving the samples? I X <br /> YES NO NA <br /> 8)Are all containers intact and with no leaks? X I _ <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 J <br /> 12)Is there sufficient sample volume to perform all requested work? X I ' <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 /> NA indicates Not Applicable <br /> CustodyChain of <br /> ShippingClient Contact Remarks <br /> Cooler Id Temp(°C) Temp Rad(uR/Hr) Custody Seal <br /> Criteria(°C) Intact? <br /> 5168 2.6 <=6.0 15 N/A <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 /> REPAID LPII 2012-03 <br /> L68577-21 1 1 1 61 058 Page 19 of 21 <br />