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�•CCUTEST. Accutest Laboratories Sample Receipt Summary <br /> Accutest Job Number: C41954 Client: DYSERT Project: PACTIV PACKAGING <br /> Date/Time Received: 9/24/2015%.00:00AM Delivery Method: Accutest Courier Airbill#a: <br /> Cooler Temps(initial/Adjusted): #1 (19/1-9) <br /> A <br /> J <br /> Cooler Security Y or N Y or N Sample Integrity Documentation Y or N <br /> 1,Custody Seals Present: ❑ ® 3.COC Present: ® ❑ ® ❑ <br /> 1.Sample labels present on bottles: ❑ <br /> 2.Custody Seals Intact: ❑ ❑ 4.Smpl Dates/rime OK ® Cl 2.Container labeling complete: <br /> Cooler Temperature Y or N 3.Sample container label/COC agree: ® ❑ <br /> 1.Temp criteria achieved: R ❑ Sample Integrity-Condition Y or N <br /> 2.Therm 10: IR1: 1.Sample recvd within HT: ® ❑ <br /> 3.Cooler media: Ice(gag) 2.All containers accounted for ® ❑ <br /> 4.No.Coolers: 1 3.Condltran of sample: Intent <br /> guntutycontroi erminfaWa Y or N NIA Sample Integrity-Instructions Y or N NIA <br /> 1.Trip Blank present/cooler: ❑ ❑ ® 1.Analysis requested is Gear: ® ❑ <br /> 2.Trip Blank listed on COC: ❑ ❑ w 2.Bottles received for unspecified tests ❑ <br /> 3.Samples preserved property: ® ❑ 3.Sufficient volume recvd for analysis: ® ❑ <br /> 4.VOCs headspace free: ❑ ❑ ® 4.Composifing instructions Gear: ❑ ❑ <br /> 5.Filtering instructions Gear: ❑ ❑ <br /> Comments <br /> Az Ubaretwl® 21MluM/hveue - SenJw,CA 95131 <br /> V:W5S95.0200 F:159.505.PA1 xxWaweq.cem <br /> C41954: Chain of Custody <br /> Page 2 of 2 <br /> 11 of 37 <br /> ACCIJTEST. <br /> C41934 •••"•••"• •" <br />