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� L <br /> Ar on Laboratories Sample Receivt Checklist <br /> Client Name: - Condor Earth Technologies, Inc Date&Time Received: 5%9/2005 <br /> — 16:30 <br /> Project Name: St.Joseph's Proposed Parking Client Project Number: 4;633 <br /> By:Received B : P.H. — ❑ <br /> Matrix: Water ❑ Soil <br /> Sample Carrier: Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: F05191 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> N/A Yes No ❑ <br /> ❑ Samples received intact.? Yes Q No <br /> Samples received under refrigeration? Yes No <br /> ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custodyresent? 0 ❑ Samplesl g ❑ <br /> P Yes No received within holding time.? Yes No <br /> Chain of Custody signed by all parties? Yes . ❑ No <br /> ❑ Do samples contain proper preservative. I <br /> rN/A Yes ❑ No ❑ <br /> 1..r Chain of Custody matches all sample labels? Do VOA vials contain zero headspacO <br /> h <br /> Yes 0 No ❑ (None submitted �) Yes F-1❑ No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> i Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> j <br /> Action Taken: <br /> t <br /> j <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> -------- -------------- - <br /> Contacted By: Date: Time: - <br /> Call Received By: <br /> L <br /> Comments: <br /> q i <br /> L+ i <br /> J <br /> C <br /> i <br />