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IC <br /> L <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc Date&Time Received: 5%10/2005 15:25 <br /> Project Name: St.Joseph's Proposed Parkin ) Client Project Number; 433 <br /> j Received By: P.H. Matrix: Water ❑ Spoil <br /> Sample Carrier: Client ❑ Laboratory Fed Ex ❑ UPS '!❑ Other ❑ <br /> Argon Labs Project Number: F05211 <br /> Shipper Container in good condition? • i <br /> g Samples received in proper containers? Yes No ❑ <br /> ' I <br /> N/A Yes Q No ❑ Samples received intact? - Yes No ❑ <br /> Samples received under refrigeration? Yes No 1 <br /> p 9 ❑ ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> i <br /> r' Chain of custody present? Yes 0 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 Q Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain ero headspacel <br /> Yes No ❑ (None submitted Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> li ------------------------------ ------ <br /> Date Client Contacted: <br /> Person Contacted: <br /> Contacted By: Subject: <br /> 4 <br /> Comments: <br /> i <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: <br /> Time: <br /> Call Received By: <br /> Comments: <br /> 'i <br /> kC ; <br /> '1 <br />