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Amon Laboratories Sample Receipt Checklist <br /> I� Client Name Condor Earth Technologies Inc Date&Time Received 912412004 1455 <br />' Project Name Former Client Project Number 3849D <br /> A Received By E P Matrix Water ❑ Soil 0 <br /> Sample Carner Client ❑ Laboratory E Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E09621 <br /> Shipper Conlaner in good condiucn? Samples received in proper containers? Yes Q No ❑ <br /> NIA Yes 0 _ No ❑ Samples received intact? Yes ❑Q No ❑� <br />' Samples received under refrigeration? Yes Q 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 /> NIA 2 Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br />' Yes Q No ❑ (None submitted Q} Yes ❑ NO ❑ <br /> G� ANY No RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted 13 7 ()�( Person <br /> —Cho—n / <br /> Contacted LLL— �!� <br /> Contacted By�(.I.1'l l"UIQ (A Subject r T <br /> Comments i�Jtys n +L),/rt-„GWcAJtk�— <br /> Action Taken L 2� t.-� i” — <br /> S <br /> ADDITIONAL TESTIS)REQUEST I OTHER <br /> Ccnlacled By Date Time r <br /> Cali Received By <br />' Comments <br /> I <br /> I <br />