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ACZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 334-5493 <br />' YES NO NA <br />II <br /> <br /> <br />1 <br />1 <br />1 <br />t <br /> <br />1) Does this project require special handling procedures such as CLP protocol? <br />2) Are the custody seals on the cooler intact? <br />3) Are the custody seals on the sample containers intact? <br />4) Is there a Chain of Custody or other directive shipping papers present? <br />5) Is the Chain of Custody complete? <br />6) Is the Chain of Custody in agreement with the samples received? <br />7) Is there enough sample for all requested analyses? <br />8) Are all samples within holding limas for requested analyses? <br />9) Were all sample containers received intact? <br />1 D) Are the temperature blanks present? <br />11) Are the trip blanks (VOA and/or Cyanide) present? <br />12) Are samples requiring no headspace, headspace free? <br />13) Do the samples that require a Foreign Soils Permit have one? <br />X <br />Exceptions: If you answered no to any of the above questions; please descritie~ - - <br />Some parameters reed past hold times. <br />i Coritact {For anydl@csepaicies, the client must be contacted) <br />The dient was not contacted. <br />REPAD.03.11.00.01 <br />L5846i: Page 26 of 28 <br />Mount Royale Ventures, LLC ACZ Project ID: L58465 <br />Date Received: 8/23/2006 <br />Received By. <br />Date Printed: 8/23/2006 <br />