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MACCUTEST Accutest Laboratories Sample Receipt Summary <br />LABORATORIES <br />Accutest Job Number: D20179 Client: Venture Resources Inc. <br />Date /Time Received: 114/2011 240: 00 PM Delivery Method: <br />Project: Robert Fulton Mine No. Coolers: <br /> <br />Cooler Security Y or N Y or N <br />1. Custody Seals Present: ® ? 3. COC Present: © ? <br />2. Custody Seals Intact: © ? 4. Smpl Datesfrime OK © ? <br />Cooler Temperature Y or N <br />1. Temp criteria achieved: ? <br />2. Cooler temp vedfication: 1 nfared gun <br />3. Cooler media: No Ice <br />Quality Control Preservation Y N N/A <br />1. Trip Blank present / cooler: ? ? <br />2. Trip Blank listed on COC: ? ? <br />3. Samples preserved properly: 10 ? <br />4. VOCs headspacefree: ? ? Q <br />Comments <br />Temp was above 6.0.C No coder or ice. <br />Accutest Laboratories <br />V:303.425.6021 <br />Immediate Client Services Action Required: Yes <br />Airbill #'s: HO <br />Sample Integrity - Documentation <br />1. Sample labels present on bottles: <br />2. Container labeling complete: <br />3. Sample container label/ COC agree: <br />Sample Integrity - Condition <br />1. Sample rec'd within HT: <br />2. All containers accounted for: <br />3. Condition of sample: <br />Sample Integrity - Instructions <br />1. Analysis requested is clear: <br />2. Bottles received for unspecified tests <br />3. Sufficient volume rec'd for analysis: <br />4. Compositing instructions clear: <br />5. Filtering instructions clear: <br />4036 Youngfi.ld Street <br />F: 303.425.6854 <br />Y or N <br />© ? <br />© ? <br />© ? <br />Y or N <br />® ? <br />® ? <br /> Intact <br /> <br />Y N N/A <br />® ? <br />El Go <br />® ? <br />? ? <br />? ? <br />Wheat RidgA CO <br />wwwlaccutest.com <br />D20179: Chain of Custody <br />Page 2 of 3 <br />A <br />on 10 of 24 <br />E AGCUTEST. <br />D20179 ...-"`