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AQ JUTEST <br />LABO R AT OR IEB <br />Accutest Job Number: D35749 <br />Date / Time Received: 6/22/2012 830.00 AM <br />Project: GCC <br />Cooler Security <br />Custody Seals Present. <br />2 Custody Seals Intact: <br />Cooler Temperature <br />1. Temp criteria achieved: <br />2. Cooler temp venficahon: <br />3. Cooler media. <br />Quality Control Preservation <br />1. Trip Blank present / cooler: <br />2. Tnp Blank listed on COC <br />3. Samples preserved properly. <br />4. VOCs headspace free: <br />Comments <br />Accutest Laboratories <br />V (303) 425 -8021 <br />Y or N <br />2 ❑ <br />2 ❑ <br />Y or N <br />2 ❑ <br />Infared gun <br />Ice (bag) <br />Y or N N/A <br />❑ ❑ <br />❑ ❑ <br />2 ❑ <br />❑ ❑ 2 <br />Accutest Laboratories Sample Receipt Summary <br />Client: CONTOUR CONSULTING <br />3 COC Present. <br />4. Smpl Dates/Time OK <br />No. Coolers: <br />Y or N <br />2 ❑ <br />2 ❑ <br />2 <br />4038 Voungfield Street <br />F (303)425 -8854 <br />Airbill Ws: HD <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 Compositing instructions clear: <br />5. Filtenng instructions clear <br />Immediate Client Services Action Required: No <br />Client Service Action Required at Login: No <br />Y or N <br />❑ <br />2 ❑ <br />❑D ❑ <br />Y or N <br />❑� ❑ <br />2 ❑ <br />Intact <br />Y or N N/A <br />® ❑ <br />2 ❑ <br />❑ ❑ <br />❑ ❑ <br />Wheat Ridge, CO <br />www /accutest corn <br />D35749: Chain of Custody <br />Page 2 of 7 <br />13 of 23 <br />• ▪ ACCLJTEST. <br />D35749 <br />