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A CZ Laboratories, Inc. <br /> 2773 Downhill Dnve Steamboat Spnngs, CO 80487 (800)334-5493 • <br /> Ouray Silver Mines ACZ Project ID: L73468 <br /> Date Received: 05/26/2022 10:22 <br /> Received By: <br /> Date Printed: 5/27/2022 <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? X <br /> 3) Does this project require special handling procedures such as CLP protocol? X <br /> 4)Are any samples NRC licensable material? X J <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 /> A change was made in the # of Containers Line 1 section prior <br /> to ACZ custody. <br /> A change was made in the # of Containers Line 1 section prior <br /> to ACZ custody. <br /> A change was made in the # of Containers Line 1 section prior <br /> to ACZ custody. <br /> A change was made in the # of Containers Line 1 section prior <br /> to ACZ custody. <br /> A change was made in the # of Containers Line 1 section prior <br /> to ACZ custody. <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 /> NA indicates Not Applicable <br /> REPAD LPII 2012-03 <br /> L73468-2206151327 Page 22 of 24 <br />