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t <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 312/2005 1240 <br /> Project Name N&S Imgatton _ Client Project Number 54 14981 0001 <br /> Received By E P Matrix Water E Soil ❑ <br /> Sample Camer Client ❑ Laboratory El Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number F03091 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> NIA Yes (] No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes No El <br /> Cham of Custody signed by all parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [] No ❑ (None submitted ❑) Yes 0 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 />