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ACZ Laboratories, Inc. <br />2773 Downhill Dnve Steamboat Spnngs CO 80487 (800) 334-5493 <br />Ouray Silver Mines <br />ACZ Project ID <br />L69169 <br />Date Received, <br />10/12/2021 10-53 <br />Received By: <br />Date Printed: <br />10/13/2021 <br />1) Is a foreign soil permit included for applicable samples? <br />2) Is the Chain of Custody form or other directive shipping papers present? <br />3) Does this project require special handling procedures such as CLP protocol? <br />4) Are any samples NRC licensable material? <br />5) If samples are received past hold time, proceed with requested short hold time analyses? <br />6) Is the Chain of Custody form complete and accurate? <br />7) Were any changes made to the Chain of Custody form prior to ACZ receiving the samples? <br />{. I <br />8) Are all containers intact and with no leaks? <br />9) Are all labels on containers and are they intact and legible? <br />10) Do the sample labels and Chain of Custody form match for Sample ID, Date, and Time? <br />11) For preserved bottle types, was the pH checked and within limits? 1 <br />12) Is there sufficient sample volume to perform all requested work? <br />13) Is the custody seal intact on all containers? <br />14) Are samples that require zero headspace acceptable? <br />15) Are all sample containers appropriate for analytical requirements? <br />16) Is there an Hg-1631 trip blank present? <br />17) Is there a VOA trip blank present? <br />18) Were all samples received within hold time? <br />YES NO NA <br />X = <br />X <br />X----- <br />X <br />X <br />X <br />X <br />X <br />X am <br />NA indicates Not Applicable <br />d�3 1=3 1 /.5 NA 15 <br />Was ice present in the shipment container(s)? <br />NO - in the !iipn-2n`_ �Dnr� <br />Client must contact an ACZ Protect Manager if analysis should not proceed for samples received <br />outside of their thermal preservation acceptance criteria <br />REPAD LPII 2012-03 <br />L69169-211 1231041 Page 26 of 28 <br />