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ACClJTEBT Accutest Laboratories Sample Receipt Summary <br /> L AU DHA 7 O IUU <br /> Accutest Job Number: C40869 Client: DYSERT Project: PACTIV PACKAGING <br /> Date/Time Received: 7/22/2015310:001"M Delivery Method: Client Airbill#'s: <br /> Cooler Temps(initial/Adjusted): #1:(5.2/5.11: <br /> A <br /> Cooler Security Y or N Y or N Sample Intearity-Documentation Y or N <br /> 1.CustodySeals Present: ❑ V 3.COC Present: V ❑ ❑ <br /> 1.Sample labels present on bottles: <br /> 2.Custody Seals Intact: ❑ ❑ 4.Smpl Dates/Time OK V ❑ 66 El2.Container labeling complete: <br /> Cooler Temperature Y or N 3.Sample container label/COC agree: ® ❑ <br /> 1.Temp criteria achieved: V ❑ Sample Integrity-Condition Y or N <br /> 2.Therm ID: IR2; 111.Sample recvd within HT; V <br /> 3.Cooler media: Ice(Bag) El2.All containers accounted for: V <br /> 4.No.Coolers: 1 3.Condition of sample: Intact <br /> Quality Control Preservation Y or N N/A Sample Intearity-Instructions Y or N NIA <br /> 1.Trip Blank present/cooler. ❑ V ❑ <br /> 1.Analysis requested is clear: ® ❑ <br /> 2.Trip Blank listed on COC: ❑ V ❑ 2.Bottles received for unspecified tests ❑ <br /> 3.Samples preserved properly: V ❑ 3.Sufficient volume recvd for analysis: ® ❑ <br /> 4.VOCs headspace free: ® ❑ ❑ 4.Compositing instructions clear: ❑ ❑ V <br /> 5.Filtering instructions clear: ❑ ❑ V <br /> Comments <br /> Amtest Laboratories 2105 Lundy Avenue San Jose,CA 95131 <br /> V:408.588.0200 F:408.588.0201 w Iaccuteslx= <br /> 040869: Chain of Custody <br /> Page 2 of 2 <br /> 9 of 23 <br /> ACClJTEBT. <br /> C40869 <br />