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Accutest Laboratories Sample Receipt Summary 1nuoun1 Alt• Accutest Job Number: 041953 Client: DYSERT Date /Time Received: 9/24/2015 10:00:00 AM Delivery Method: Accutest Courier Cooler Temps (InitiallAdjusted): #1: (1.9/1.91: Cooler Security Y or N Y or N 1. Custody Seals Present: ❑ ® 3. COC Present: 2. Custody Seals Intact: ❑ ❑ 4. Smpl DatesTme OK Cooler Temperature Y or N 1. Temp criteria achieved: ® ❑ 2. Therm ID: Y IRI; 3. Cooler media: Ice (Bag) 4. No. Coolers: 2. All containers accounted for: 1 Quality Control Preservation Y or N NIA 1. Trip Blank present / cooler: LJ ❑ 10 2. Trip Blank listed on COC: ❑ ❑ 3. Samples preserved properly: ® p 4, VOCs headspace free: ❑ ❑ Project: PACTIV PACKAGING Airbill #'s: Accutest Laboratadea 2105 Lundy Avenue San Jose, CA 95131 V:408.588.0200 F: 408.588.0201 v Iaccutest.ctan C41953: Chain of Custody Page 2 of 2 EM 9of19 ■ ACCUTEST. C41953 I...— A Sample Integrity - Documentation Y or N 1. Sample labels present on bottles: Yt ❑ 2. Container labeling complete: © ❑ 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 Integrity - Instructions Y or N NIA 1. Analysis requested is clear: W ❑ 2. Bottles received for unspecified tests ❑ 3. Sufficient volume recvd for analysis: © ❑ 4. Compositing instructions clear: ❑ ❑ 5. Filtering instructions clear: ❑ ❑ Accutest Laboratadea 2105 Lundy Avenue San Jose, CA 95131 V:408.588.0200 F: 408.588.0201 v Iaccutest.ctan C41953: Chain of Custody Page 2 of 2 EM 9of19 ■ ACCUTEST. C41953 I...—