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ACZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 334 -5493 <br />3 B Enterprises ACZ Project ID: L92940 <br />Date Received: 01/26/2012 14:21 <br />Received By: <br />Date Printed: 1/26/2012 <br />1) Does this project require special handling procedures such as CLP protocol? <br />2) Are the custody seals on the cooler intact? <br />3) Are the custody seals on the sample containers intact? <br />4) Is there a Chain of Custody or other directive shipping papers present? <br />5) Is the Chain of Custody complete? <br />6) Is the Chain of Custody in agreement with the samples received? <br />7) Is there enough sample for all requested analyses? <br />8) Are all samples within holding times for requested analyses? <br />9) Were all sample containers received intact? <br />10) Are the temperature blanks present? <br />11) Is the trip blank for Cyanide present? <br />12) Is the trip blank for VOA present? <br />13) Are samples requiring no headspace, headspace free? <br />14) Do the samples that require a Foreign Soils Permit have one? <br />;.4y- 'L�1�#.V �>.,�AY,),.dF+`:�`�r• r E'£?�_Mh °'a"'St <br />N/A <br />,^,.;;s.Saa:1JS�CGIar'�, ;'a�• ' •sgd3r nO, �s•�.:w 4 :5..+.01,,;&u+;b,Ez;N,.'" -„*°^" <br />azstr": +.it+. mow `9dNP*,4r5,.,,lnm.�cadrzraR's1 <br />N/A <br />Id <br />a^ f " awr..y ",,. ,•�ft y�?y '�da" � J µ� a ��,.� ,� � w c 53 <br />Temp (°C) Red (liR/hr) <br />13.7 15 <br />Client must contact ACZ Project Manager <br />if analysis should not proceed for samples <br />received outside of thermal preservation <br />acceptance criteria. <br />s�3� ' "'3f..'�l."✓Z,t #r2 "":c�, <br />u' <br />REPAD.03.11.00.01 <br />Page 7 of 9 <br />