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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 8/1/2005 1535 <br /> Prc}ect Name N & S Irrigation Client Protect Number 54 14981 0001 <br /> Received By E P Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number F06051 <br /> Shiooer Container in good conditions Samples received in proper containers? Yes ❑ No <br /> NIA Yes Q No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samoles received under refrigeration? Yes In No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> hair,of asrocv presents Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of C istooy signed by all parties? Yes [l No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes ❑ No <br /> Chain of Custody matches all sample laoel5') Do VDA vials contain zero heads pace? <br /> Yes 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 I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> • <br />