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ACZ Laboratories, Inc. <br /> 2773 Downhill Drive Steamboat Springs,CO 80487 (800)334-5493 = • <br /> Ensero Solutions ACZ Project ID: L73811 <br /> 3100-P0205 Date Received: 06/09/2022 12:19 <br /> Received By: <br /> Date Printed: 6/10/2022 <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 CLIP 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? 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 sample ID section prior to ACZ <br /> custody. <br /> A change was made in the sample ID section prior to ACZ <br /> custody. <br /> A change was made in the sample ID section prior to ACZ <br /> custody. <br /> . �. ��.tx� "�'� a,�>p {{��„ :tee <br /> r�,;.�y,p;�, :Sk;''�t� 'A„i:�',�}1:*'�':,'••.v �.-;.,�. -..i` r'=,.:.»:..x':tA�=:; :'. y�: f., t," �',. <br /> ,.'-s"�i'•lz`°.T'r w�lwt"J�,'�'tu:v;�lpi'Ks�, .��D=:y„a�.�',.: ,--�.-.,>`�=._�. �4. �• ,d .*``t<: <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? I X <br /> 18)Were all samples received within hold time? X <br /> NA indicates Not Applicable <br /> Rn <br /> >..w.. . <br /> Cooler Id Temp(°C) Temp Rad(uR/Hr) Custody Seal <br /> Criteria(°C) Intact? <br /> --------- -------- ------------ ---------- ------------ <br /> 5248 11.8 <=6.0 15 Yes <br /> REPAD LPII 2012-03 <br /> L7381 1-220721 1 457 Page 22 of 24 <br />