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No M Accutest Laboratories Sample Receipt Summary LAD V MAI VA. LIM Accutest Job Number: C41952 Client: DYSERT Date /Time Received: 9/24/2015 10:00:00 AM Delivery Method: Cooler Temps (Initial/Adjusted): #L(1-9/1-9): Cooler Security Y or N Y or N 1. Custody Seals Present: ❑ ® 3. COC Present: 2. Custody Seals Intact: ❑ ❑ 4. Smpl Dates/Time OK r Cooler Temperature Y or N 1. Temp criteria achieved: ® ❑ 2. Therm ID: Y IR1; 3. Cooler media: Ice (Bag) 4. No. Coolers: 2. All containers accounted for: 1 Quality Control Preservation Y or N N/A 1. Trip Blank present / cooler: ❑ J 2. Trip Blank listed on COC: ❑ ❑ 3. Samples preserved properly: © ❑ 4. VOCs headspace free: ❑ ❑ Project: PACTIV PACKAGING Accutest Courier Airbill #'s: Accutest Laboratories 2105 Lundy Avenue San Jose, CA 95131 V:408.588.0200 F: 408.588.0201 www/amutesLcom 041952: Chain of Custody Page 2 of 2 MM 9of19 M ^OOU`f`EST. C41952 I ..... Samole Intearity - Documentation Y or N 1. Sample labels present on bottles: ® ❑ 2. Container labeling complete: 1z El 3. Sample container label / COC agree. ® ❑ Sample Integrity - Condition Y or N 1. Sample recvd within HT: © ❑ 2. All containers accounted for: ❑ 3. Condition of sample: Intact Sample Intearity - Instructions Y or N N/A 1. Analysis requested is clear: ❑ 2. Bottles received for unspecified tests ❑ 3. Sufficient volume recvd for analysis: © ❑ 4. Composting instructions clear: ❑ ❑ 5. Filtering instructions clear: ❑ ❑ Accutest Laboratories 2105 Lundy Avenue San Jose, CA 95131 V:408.588.0200 F: 408.588.0201 www/amutesLcom 041952: Chain of Custody Page 2 of 2 MM 9of19 M ^OOU`f`EST. C41952 I .....