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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies Date&Time Received: 05/11/05&05/12/05&05/13/05 <br /> Project Name: Proposed Women/Children Cen Client Project Number: 4634 <br /> Received By: P.H.&E.P. Matrix: Water ❑ Soil Q l <br /> Sample Carrier: Client ❑ Laboratory R] Fed Ex ❑ UPS '❑ Other ❑ <br /> E <br /> Argon Labs Project Number: F05431 <br /> Shipper Container in good condition? Samples received in'proper containers? Yes Q No ❑ j <br /> N/A Yes ❑ No ❑ Samples received intact?. Yes ❑ No <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Yes ❑ No ❑ Do samples contain':proper preservative? <br /> N/A 0 Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted Yes :❑ No ❑ <br /> i <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br />