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i <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: ATC Associates, Inc, Date&Time Received: 3/212004 16:15 <br /> Project Name: N &S Irrigation Client Project Number: 54.14981.0001 <br /> Received By: E.P. Matrix: Water 0 Soii ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number'. E03041 <br /> Shipper Container in good condition? Samples received in.proper containers? Yes Q No ❑ <br /> NIA Yes No ❑ Sampies received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes 0 No <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes ❑ No ❑ <br /> i <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ (None submitted ❑} Yes 0 No ❑ <br /> i <br /> ANY"No"RESPONSE MUST 13E 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 I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments <br /> ................ <br />