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• <br />• ACCUTEST, <br />Project: <br />Cooler Security <br />1 Custody Seals Present <br />2 Custody Seals Intact <br />Cooler Temperature <br />t Temp cntena achieved <br />2 Cooler temp verification <br />3. Cooler media <br />Comments <br />Accutest Leboratonee <br />V (303) 425-6021 <br />Accutest Job Number: D28612 Client: <br />Date / Time Received: 10/14/2011 <br />Y or N <br />❑ 3 COC Present <br />❑ 4. Smpl Dates/Time OK <br />Y or N <br />❑ <br />Infared gun <br />Ice (bag) <br />Quality Control Preservation Y or N WA <br />1 Tnp Blank present f cooler. ❑ ❑ <br />2 Tnp Blank listed on COC ❑ ❑ <br />3 Samples preserved properly: ® ❑ <br />4 VOCs headspace free ❑ ❑ <br />Accutest Laboratories Sample Receipt Summary <br />No. Coolers: <br />Y or N <br />® ❑ <br />® ❑ <br />4036 Youngfield Street <br />F (303) 4256854 <br />Airbilt #'s: <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 recvd 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 recd for analysis <br />4 Composibng instructions clear <br />5 Fibenrg instructions clear <br />Immediate Client Services Action Required: No <br />Client Service Action Required at Login: No <br />Y or N <br />O ❑ <br />O ❑ <br />O ❑ <br />Y or N <br />O ❑ <br />® ❑ <br />Intact <br />Y or N N/A <br />0 <br />® ❑ <br />O ❑ <br />❑ ❑ <br />Wheat Ridge, CO <br />www /accutest con <br />D28612X: Chain of Custody <br />Page 2 of 7 <br />7of12 <br />• ▪ AC C UTEST <br />D28612X —4 '44 <br />