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ACZ Laboratories, Inc. <br />2773 Downhill Dnve Steamboat Springs, CO 80487 (800) 334 -5493 <br />Golder Associates <br />Receipt Verification <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? X <br />8) Are all samples within holding times for requested analyses? X <br />9) Were all sample containers received intact? X <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, headspace free? <br />13) Do the samples that require a Foreign Soils Permit have one? <br />Exceptions: If you answered no to any of the above questions, please describe <br />N/A <br />Contact (For any discrepancies, the client must be contacted) <br />N/A <br />Shipping Containers <br />Cooler Id <br />1959 <br />REPAD.03.11.00.01 <br />Temp (°C) Rad (µR /hr) <br />2.1 19 <br />Sample <br />Receipt <br />ACZ Project ID: L91984 <br />Date Received: 11/18/2011 10:09 <br />Received By: ksj <br />Date Printed: 11/21/2011 <br />YES <br />NO <br />NA <br />Client must contact ACZ Project Manager if analysis should not proceed for <br />samples received outside of thermal preservation acceptance criteria. <br />Notes <br />Page 34 of 36 <br />