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ACZ Laboratories, Inc. ' <br /> 2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 • <br /> Ensero Solutions ACZ Project ID: L77595 <br /> 3100-P0205 Date Received: 12/08/2022 13:50 <br /> Received By: <br /> Date Printed: 12/9/2022 <br /> Receipt Verification <br /> YES NO NA <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? 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 /> _�-- <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 /> YES NO NA <br /> 8)Are all containers intact and with no leaks? �- <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? <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? X l <br /> 13) Is the custody seal intact on all containers? E 1- -=X( -j <br /> 14)Are samples that require zero headspace acceptable? X j <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? F 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 /> --------- -------- ------------ ---------- ------------ <br /> 5235 2.7 <=6.0 15 Yes <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 /> L77595-2301171408 Page 21 of 23 <br />