Laserfiche WebLink
® ACC UTE ST <br />Accutest Job Number: D39156 Client: CONTOUR <br />Date / Time Received: 9/26/2012 4:40:00 PM <br />Project: GCC <br />Cooler Security <br />1. Custody Seals Present <br />2 Custody Seals Intact. <br />Cooler Temperature Y or N <br />1. Temp cnteria achieved: © ❑ <br />2. Cooler temp verification Infared gun <br />3. Cooler media: Ice (bag) <br />Quality Control Preservation Y or N N/q <br />1. Trip Blank present / cooler ❑ ❑ <br />2. Tnp Blank listed on COC ❑ ❑ <br />3. Samples preserved properly: 2 ❑ <br />4 VOCs headspace free* ❑ ❑ l 1 <br />Comments <br />Accutest Laboratories <br />V (303) 425-6021 <br />LABORATORIES <br />Y or N <br />2 ❑ 3. COC Present <br />® ❑ 4. Smpl Dates/Time OK <br />Accutest Laboratories Sample Receipt Summary <br />No. Coolers: 1 <br />Y or N <br />❑ <br />2 ❑ <br />Immediate Client Services Action Required: No <br />Client Service Action Required at Login: No <br />Airbill Vs: 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 reed for analysis <br />4 Compositing instructions clear <br />5 Filtering instructions clear <br />Y or N <br />O ❑ <br />❑ <br />© ❑ <br />Y or N <br />O ❑ <br />Intact <br />Y or N N/A <br />❑ <br />❑ 2 <br />❑ <br />❑ ❑ ❑O <br />❑ ❑ <br />4036 Youlgfeld Street Wheat Ridge, CO <br />F (303) 425 -6854 www /accutestcom <br />D39156: Chain of Custody <br />Page 2 of 2 <br />■ ® 12of15 <br />• AC CUTEST. <br />D39156 `"00,470671E• <br />