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� M! <br /> 9 <br /> N <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name ATG Associates, Inc Date&Time Received 6/4/2004 1450 <br /> Project Name N&S Irrigation Client Project Number 54 14981 0001 <br /> Received By P H Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E06091 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> NIA Yes r-11 No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Cham of custody present? Yes 0 No ❑ Samples received within holding time? Yes El No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 2 No ❑ (None submitted ❑ ) Yes 0 No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> . Date Client Contacted Person Conacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted BY Date Time <br /> Call Received By <br /> Comments <br />