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<br /> <br /> <br />ADZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Sorinos- CO 80487 ISM 334-5493 <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 times for requested analyses? <br />9) Were all sample containers received intact? <br />10) Are the temperature blanks present? <br />11) Is the trip blank for Cyanide present? <br />12) Is the trip blank for VOA present? <br />13) Are samples requiring no headspace, headspace free? <br />14) Do the samples that require a Foreign Soils Permit have one? <br />N/A <br />YES NO NA <br />X <br />? <br />-_-, <br />X <br />? s ! X <br />X <br />X <br />X <br />Contact (For any discrepancies, the client must be contacted) <br />' N/A <br />' ,Cooler Id Temp ('C) Rad (µR/hr) Client must contact ACZ Project Manager <br />1712 2 2 14 if analysis should not proceed for samples <br />received outside of thermal preservation <br />acceptance criteria. <br />REPAD.03.11.00.01 <br />Page 15 of 17 <br />ARCADIS ACZ Project ID: L75394 <br />B025510.0002.00001 Date Received: 4/22/2009 <br />Received By: <br />Date Printed: 4/22/2009 <br />X <br />X <br />i <br />X <br />i X