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ACZ Laboratories, Inc. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 334 -5493 <br />City of Ouray ACZ Project ID: L94059 <br />L71055 Date Received: 04/13/2012 10:14 <br />Received By: ksj <br />Date Printed: 4/13/2012 <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) 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 />N/A <br />N/A <br />YES NO NA <br />Cooler Id Temp (°C) Rad (pR/hr) Client must contact ACZ Project Manager if analysis should not proceed for <br />Nal 5158 12.9 13 samples received outside of thermal preservation acceptance criteria. <br />REPAD.03.11.00.01 <br />Page 11 of 13 <br />