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r Amon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates Inc <br /> Date&Time Received 1012/2003 1635 <br /> Project Name N&S Irrigation Client Project Number 54 14981 0009 <br /> Received By David Matrix Water E Soil ❑ <br /> Sample Carrier Client ❑ Laboratory Q Fed Ex ❑ UPS ❑ Other ❑ <br /> ' Argon Labs Project Number D10071 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> NIA Yes ❑ No ❑ Samples received intact? Yes Na El <br /> Samples received under refirgeration? Yes [] 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 /> ' N!A Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> ' Yes 0 No ❑ (None submitted ) Yes ❑ 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 /> 1 <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By' Date Time <br /> Call Received By <br /> Comments <br />