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ACZ Laboratories, inc. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 334 5493 <br />3 B Enterprises <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) Are the trip blanks (VOA and/or Cyanide) present? <br />12) Are samples requiring no headspace, headspace free? <br />13) Do the samples that require a Foreign Soils Permit have one? <br />ACZ Project ID: L93693 <br />Date Received: 03/21/201214:18 <br />Received By: ksj <br />Date Printed: 3/21 /2012 <br />YES NO NA <br />X <br />N/A <br />WA <br />. � .. , .t.,y;�_y *'t 1�K T�. � fl?� � - . V i�•, r�i'9,fi4. t` ^! �� 9.i,+ <br />„$•, ry$bs :.� x���, .y- �.e+�, - - '�i`'. t .. .� . , � • nM.�ia'e�.�'... r1•!M,m , n . * -Y- . <, .... -. ..... - -. r...�r?+`�i <br />Cooler Id Temp (`C) Rad (pR/hr) <br />Nal5017 10.9 13 <br />REPAD.03.11.00.01 <br />Client must contact ACZ Project Manager if analysis should not proceed for <br />samples received outside of thermal preservation acceptance criteria. <br />Page 7 of 9 <br />