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1 <br /> AAronLaboratoriesSample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 10!1512003 1100 <br /> ' Protect Name N&S Irrigation Client Protect Number 54 14981 0001 <br /> Received By DS Matrix Water 2] Soil ❑ <br /> Sample Carrier Cltent ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number D10281 <br /> Shipper Container in good condition? Samples received in proper containers? Yes R No ❑ <br /> NIA Yes ❑ No ❑ Samples received intact? Yes ❑ No ❑ <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 /> ' NIA ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace7 <br /> Yes [] 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 /> 1 <br /> Action Taken <br /> ADDITIONAL TESTIS)REQUEST!OTHER — <br /> Contacted By Date Time <br /> ' Call Received By <br /> Comments <br /> r <br />