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®ACCUTEST Accutest Laboratories Sample Receipt Summary <br /> Accutest Job Number: C41952 Client: DYSERT Project: PACTIV PACKAGING <br /> Date I Time Received: 9/2412015 10:00:00 AM Delivery Method: Accutest Courier Airbill#'s: <br /> Cooler Temps(initial/Adjusted): #1 0 9/1 9) <br /> A <br /> Cooler Security Y or N Y or N Sample Integrity-Documentation Y or N —' <br /> 1 Custody Seals Present3.COC Present: 1.Sample labels present on bottles: <br /> 2.Custody Seals Intact 4.Smpl Dates/Time OK d 2.Container labeling complete: V <br /> Cooler Temperature Y or N 3.Sample container label/COC agree: 11 <br /> 1.Temp criteria achieved. ./ Sample Integrity-Condition Y or N <br /> 2.Therm ID: IR1: 1.Sample recvd within HT: <br /> 3.Cooler media: Ice(Bag) <br /> 2.All containers accounted for. � <br /> 4.No Coolers: 1 <br /> 3.Condition of sample. Intact <br /> Quality Control Preservation Y or N NIA Samole Integrity-Instructions Y or N N/A <br /> 1 Trip Blank present/cooler. <br /> 1.Analysis requested 1s clear: V <br /> 2.Trip Blank listed on COC: d 2.Bottles received for unspecified tests <br /> 3.Samples preserved properly 3.Sufficient volume recvd for analysis. V <br /> 4.VOCs headspace free: ,y 4.Compositing instructions clear: <br /> S.Filtering instructions clear: <br /> Comments <br /> Amteat labOra1 <br /> arie8 2105 Wndy A— San Jose.CA 95131 <br /> y 408.588.0200 F 408 588.0201 wv m—dear— <br /> ('-t1i1-2: Chain ot'CustodN <br /> Ya(ye 2 of 2 <br /> ■ 9of19 <br /> ACCUTEST <br />