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®ACCUTEST. Accutest Laboratories Sample Receipt Summary <br /> ,eno�aro.,,r, <br /> Accutest Job Number: C41953 Client: DYSERT Project: PACTIV PACKAGING <br /> Date/Time Received: 9/24/2015 100000 AM Delivery Method: Accutest Courier Airbill Vs: <br /> Cooler Temps(initial/Adjusted): K1 0 9/1 9) <br /> Cooler Security Y or N Y or N Sample Integrity-Documentation Y or N <br /> 1.Custody Seals Present ✓ 3.COC Present: ✓ 1.Sample labels present on bottles: ✓ <br /> 2 Custody Seals Intact, 4.Smpl Dates/Time OK ✓ 2.Container labeling complete: ✓ <br /> Cooler Temperature Y or N 3.Sample container label/COC agree- ✓ <br /> 1.Ternp criteria achieved: ✓ Sample Integrity-Condition Y or N <br /> 2.Therm ID: IR1: <br /> 1.Sample recvd mthm HT: ✓ <br /> 3 Cooler media- Ice(Bag) <br /> 4.No.Coolers2.All containers accounted for: ✓ <br /> : I <br /> 3.Condition of sample Intact <br /> Quality Control Preservation Y or N N/A Sample Integrity-Instructions Y or N N/A <br /> 1.Trip Blank present I cooler: ✓ 1.Analysis requested is clear. V <br /> 2.Trip Blank listed on COC `r 2.Bottles received for unspecified tests ✓ <br /> 3.Samples preserved properly. V 3.Sufficient volume recvd for analysis. ✓ <br /> 4.VOCs headspace free: V 4.Compositing instructions clear: ✓ <br /> 5.Filtering instructions clear. ✓ <br /> Comments — <br /> Attutost Laboratories 2105 Lundy Avenue San Jose.CA 95131 <br /> VA011I.S118.0200 F.41011311111=1 r,+xw/accutest- <br /> 0419.53: Chain of CCustutl. <br /> Pilot: 2 of 2 <br /> ■ 9of19 <br /> ■.GCCUTE=ST <br />