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A <br />ANALYTICA <br />Client: Colorado Division of Reclamati Client Code: 501304 Order #: B1205059 <br />Project: GW Monitoring <br />Cooler ID: 1 <br />A. Preliminary Examination Phase: <br />1. Was airbill Attached? N/A Airbill #: <br />2. Custody Seals? N/A How many? 0 <br />3. Seals intact? N/A <br />4. COC Attached? Yes <br />COMMENTS: <br />Properly Completed? Yes Signed by AEL employee? Yes <br />5. Project Identification from custody paper: CC &V Arequa Gluch MW <br />6. Preservative: Wetice Temperature: 3.4 deg. C <br />Designated person initial here to acknowledge receipt: <br />Cooler Receipt Form <br />Date cooler opened: 5/9/2012 <br />Cooler opened by: GS <br />Location: <br />B. Loo-in Phase: Samples Log -in Date: 5/9/2012 Log -in By GS <br />Signature: <br />Carrier Name: Client <br />Seal Name: <br />Date: <br />1. Packing Type: Ice <br />2. Were samples In separate bags? N/A <br />3. Were containers Intact? Yes Labels agree with COC? Yes <br />4. Number of bottles received: 4 Number of samples received: 2 <br />5. Correct containers used? Yes Correct preservatives added? Yes <br />6. Sufficient sample volume? Yes <br />7. Bubbles in VOA samples? N/A <br />8. Was Project manager called and status discussed? Yes <br />9. Was anyone called? Yes Who was called? By whom? Date. <br />COMMENTS: <br />Page 1 of <br />