2012-09-25_HYDROLOGY - M1984094

• Permit No: M1984094
• IBM Index Class Name: HYDROLOGY
• Doc Date: 9/25/2012
• Doc Name: Sampling Date: 09/12/12
• From: Mountain States- ACCUTEST Labs
• To: DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: MAC
• Email Name: TAK
• Media Type: D
• Archive: No

ACCLJTEST
Accutest Job Number: D38658
Date / Time Received: 9/12/2012 2:15.00 PM
Project: GLORIA Z MINE
Cooler Security
1. Custody Seals Present.
2. Custody Seals Intact.
Cooler Temperature
1. Temp critena achieved:
2. Cooler temp venfication•
3. Cooler media'
Quality Control Preservation
1. Trip Blank present / cooler:
2 Trip Blank listed on COC.
3. Samples preserved properly:
4. VOCs headspace free.
Comments
Accuteat Laboratories
V (303) 425 -8021
LABORATORIES
Y or N
2 ❑
2 ❑
Y or N
2 ❑
Infared gun
Ice (bag)
Y or N N/A
❑ ❑
❑ ❑
2 ❑
❑ ❑ 2
Accutest Laboratories Sample Receipt Summary
Client: COLORADO DIVISION OF RECLAMATION, Immediate Client Services Action Required: No
3 COC Present.
4. Smpl Dates/Time OK
No. Coolers:
Y
2
2
or N
0
4038 Young0eld Street
F [phone]
Alrbill Ws: HD
Sample Integrity - Documentation
1. Sample labels present on bottles.
2 Container labeling complete.
3. Sample container label / COC agree:
Sample Integrity - Condition
1. Sample recvd within HT.
2. All containers accounted for:
3 Condition of sample.
Sample Integrity - Instructions
1 Analysis requested is clear:
2. Bottles received for unspecified tests
3. Sufficient volume recd for analysis'
4. Compositing instructions clear.
5 Filtering instructions clear.
Client Service Action Required at Login: No
Y or N
2 ❑
2 ❑
2 ❑
Y or N
o ❑
❑
Intact
Y or N NIA
2 ❑
r❑ ❑
❑ ❑
❑ ❑ 2
Wheat Ridge, CO
www /accuteat coin
D38658: Chain of Custody
Page 2 of 2
Y
12 of 24
• ▪ ACCLJTEs r
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