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ACGUTEST. <br /> Ocutest Laboratories Sample Receipt Suf>ery RECD JUL 24 2015 <br /> Accutest Job Number: C35685 Client: DYSERT Project: PACTIV PACKAGING <br /> Date/Time Received: 8/27/2014 Delivery Method: Accutest Courier Airbi 11#'s: <br /> Cooler Temps(Initial/Adjusted): #1:0,6133); <br /> A <br /> Cooler Security Y or N Y or N Sample Integrity-Documentation Y or N <br /> 1.Custody Seals Present: ❑ © 3.COC Present: VJ 1.Sample labels present on bottles: -A ❑ <br /> 2.Custody Seals Intact ❑ ❑ 4.Smpl DatesRme OK V 7 Li— 2.Container labeling complete: <br /> Cooler Temperature Y or N 3.Sample container label/COC agree: vil D <br /> 1.Temp criteria achieved: J ❑ Sample Integrity-Condition Y or N <br /> 2.Cooler temp verification: IRI; 1.Sample recvd Orrin HT: V1 i1 <br /> 3.Cooler media: Ice(Beg) [] <br /> ----- 2.Al containers accounted for: <br /> 4.No.Coolers: 1 <br /> 3.Condition of sample: Iniad <br /> Quality Control Preservation Y or N NIA Sample Integrity-Instructions Y or N NIA <br /> 1.Trip Blank present/cooler: ❑ ❑ wJ <br /> 1.Analysis requested is Gear: <br /> 2.Trip Blank listed on COC: ❑ ❑ EI 2.Bottles received for unspecified tests —1 3d <br /> 3.Samples preserved property: r❑I G 3.Sufficient volume recvtl for analysis: V ❑ <br /> 4.VOCs headspace free: ❑ ❑ © 4.Compositing instructions clear: ] <br /> 5.Filtering instructions clear: ] -- <br /> Comments <br /> pmyhyrgpwetprec 210 uwu Awme Sari JMe.CA 95131 <br /> V40.Mo200 F4rasa8=I l ftggtM. <br /> C35685A: Chain of Custody <br /> Page 2 of 4 <br /> Ew 9of13 <br /> w O CCU-rE9T. <br /> C35685A •^so.^+.. .^ <br />