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• ~~ Laboratories, Inc. <br />21731Jbwnhd]Ddve Steamboat Springs, CO 80487 (800)334-5-193 <br />C <br />• <br />Connell Reeonreee ACZ Project ID: L39081 <br />TELLER PIT WELL TEST Date Received: 10/25/02 <br />Received By: [inaw <br />YES NO NA <br />1) Does this project squire sP:cial handling proax{ures such as CLP protocol? <br />2) Are the custody seals on the cooler intact? <br />3} Are the custody seals on [he sample containers intact? <br />4) Is there a Chain of Custody or other directive shipping papers present? <br />5) Is [he Chain of Custody complete? <br />6) [s the Chain of Custody in agreement with the samples received? <br />7) Is [here enough sample for all requested analyses? <br />8) Are all samples within holding tirnes for requested analyses? <br />9) Were all sample wntainers received intact? <br />10) Are the temperature blanks present? <br />11) Are the trip blanks (VOA and/or Cyanide) present? <br />12) Are samples requiring no headspace, headspacn &ee? <br />13) Do the sataples that require a Foreign Soils Permit have one" <br />. _ ., (... <br />N/A <br /> <br />N/A <br />. '" w yes ~~s., w~~ ~3 <br />xv __.._ .. _. ... _'__,_ __ .e ._ __... _.:.Lc,.. ~...a.'JSzv.. 1~'~.:c~`~' _~..°.~.r`:d7r <br />Cmkr ld Tem °C Rad <br />AC7, 9 13 <br />':-n' '~: <br />ItEPAU.03.1 LW.Ot <br />L39081: Page 12 of l4 <br />