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ACCLJTEST Accutest Laboratories Sample Receipt Summary <br /> LAUD H A 1 0 146 <br /> Accutest Job Number: C41950 Client: DYSERT Project: PACTIV PACKAGING <br /> Date/Time Received: 9/24/2015 10:00:00 AM Delivery Method: Accutest Courier Airblll Vs: <br /> Cooler Temps(Initial/Adjusted): #1:(1.9/1.9)0 <br /> A <br /> Cooler Security Y or N Y or N Samole Intearity-Documentation Y or N <br /> 1.Custody Seals Present: ❑ V 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.Temp criteria achieved: y ❑ Sample Intearity-Condition Y or N <br /> 2.Therm ID: IRI; 66 El1.Sample recvd within HT: <br /> 3.Cooler media: Ice(Bag) 2.All containers accounted for: ® ❑ <br /> 4.No.Coolers: 1 <br /> 3.Condition of sample: Intal <br /> Quality Control Preservation Y or N NIA Sample Intearity-Instructions Y or N N/A <br /> 1.Trip Blank present/cooler: ❑ © ❑ <br /> 1.Analysis requested is clear: © ❑ <br /> 2.Trip Blank listed on COC: ❑ © U 2.Bottles received for unspecified tests ❑ <br /> 3.Samples preserved properly: ® ❑ 3.Sufficient volume recvd for analysis: © ❑ <br /> 4.VOCs headspace free: ® ❑ ❑ 4.ComposiOng instructions clear. ❑ ❑ <br /> 5.Filtering instructions clear: ❑ ❑ <br /> Comments <br /> Acculest Laboratories 2105 Lundy Avenue San Jose,CA 95131 <br /> VA08.588.0200 F:408.588.0201 V Iawutest— <br /> C41950: Chain of Custody <br /> Page 2 of 2 <br /> INAN 15 of 40 <br /> E ACCIJTEST; <br /> C41950 `""°""°".— <br />