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ACZ Laboratories, Inc. <br /> 2773 Downhill Drive Steamboat Springs,CO 80487 (800)334-5493 • <br /> Ensero Solutions ACZ Project ID: L73416 <br /> 3100-P0205 Date Received: 05/24/2022 10:51 <br /> Received By: <br /> Date Printed: ±.�5/25/2022 <br /> C„aV;h':Jd':, a^`�:.a`• S:;,L =�Yq :'�-=_ _•r,,k+a:h"sa•";�f.° i` .,, '..�+- � _�` <br /> 3 `�'i <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 <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? IX <br /> 7)Were any changes made to the Chain of Custody form prior to ACZ receiving the samples? X <br /> 'r"�..hy?;'.ai�'A ..rd.i 4`'ri'x' 'y� •.} .�'.vge.'•.E.• p..'�-...;: ,k"�.y. ;�...,..- - +srb-•..- i sti��2 ys ,'b <br /> tF' ,, r s 34'' Y...', A ,�tG.` s= l :VtipS `•-:>T',•'�;,5%" 'ay-rv. ' a, ,�. .: .s <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? XAM <br /> L73416-01 Container B2544201 (RED CUBE) : There is limited <br /> supply in this container. <br /> 13)Is the custody seal intact on all containers? I I X <br /> 14)Are samples that require zero headspace acceptable? I X <br /> 15)Are all sample containers appropriate for analytical requirem6nts? 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 /> Cooler Id Temp(°C) Temp Rad(uR/Hr) Custody Seal <br /> Criteria(°C) Intact? <br /> --------- -------- ------------ ---------- ------------ <br /> 5190 4.8 <=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 /> REPAD LPII 2012-03 <br /> L73416-2206301248 Page 21 of 23 <br />