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Ar on Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 2!912005 1430 <br /> Protect Name Woolsey Charter Way _ Client Protect Number 294 <br /> Received By E P Matrix Water R] Sod ❑ <br /> Sample Carrier Client Q Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number F02141 <br /> Shipper Container in good condition? Samples received in proper containers? Yes [] No ❑ <br /> NJA Yes [] No ❑ Samples received intact? Yes [] No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Cham of custody present? Yes ❑ No ❑ Samples received"thin holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes [] No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes Q No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspaca? <br /> Yes E] No ❑ (None submitted ❑) Yes No ❑ <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 f OTHER - <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> • <br />