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ACZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 334 -5493 <br />Golder Associates <br />103 81640 - 0005 <br />Receipt Verification <br />1) Is a foreign soil permit included for applicable samples? <br />2) Is the Chain of Custody or other directive shipping papers present? <br />3) Does this project require special handling procedures such as CLP protocol? <br />4) Are any samples NRC licensable material? <br />5) If samples are received past hold time, proceed with requested short hold time analyses? <br />6) Is the Chain of Custody complete and accurate? <br />The 'sampled by' field on the Chain of Custody was not <br />completed. <br />7) Were any changes made to the Chain of Custody prior to ACZ receiving the samples? <br />A change was made in the date /time section prior to ACZ <br />custody. <br />8) Are all containers intact and with no leaks? <br />9) Are all labels on containers and are they intact and legible? <br />10) Do the sample labels and Chain of Custody match for Sample ID, Date, and Time? <br />11) For preserved bottle types, was the pH checked and within limits? <br />L97854 -03 Container B1275917: Added 8 mis nitric acid to the <br />sub - sample to adjust the pH to the appropriate range. <br />12) Is there sufficient sample volume to perform all requested work? <br />13) Is the custody seal intact on all containers? <br />14) Are samples that require zero headspace acceptable? <br />15) Are all sample containers appropriate for analytical requirements? <br />16) Is there an Hg -1631 trip blank present? <br />17) Is there a VOA trip blank present? <br />18) Were all samples received within hold time? <br />REPAD LPII 2012 -03 <br />Cooler Id <br />2348 <br />Temp ( °C) <br />0.7 <br />Rad (pR /Hr) <br />14 <br />Yes <br />Sample <br />Receipt <br />ACZ Project ID: L97854 <br />Date Received: 11/14/2012 10:19 <br />Received By: ksj <br />Date Printed: 11/14/2012 <br />YES <br />X <br />X <br />X <br />X <br />NO NA <br />X <br />X <br />X <br />Samples /Containers <br />YES <br />X <br />X <br />X <br />Custody Seal Intact? <br />X <br />Client must contact an ACZ Project Manager if analysis should not proceed for samples received <br />outside of their thermal preservation acceptance criteria. <br />NO <br />X <br />X <br />NA <br />X <br />Chain of Custody Related Remarks <br />Client Contact Remarks <br />Shipping Containers <br />Page 33 of 34 <br />