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Argon Laboratories Sample Recei t Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 4/8/2005 1545 <br /> Protect Name Pastana Reeves Exxon Client Protect Number 036 <br /> Received By P H Matrix Water [Q Sod ❑ <br /> Sample Carver Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon tabs Protect Number F04301 <br /> Shipper Container in good condition? Samples received to proper containers? Yes P/1 No ❑ <br /> WA Yes 2 No ❑ Samples received intact? Yes [] No ❑ <br /> Samples received under refrigeration? Yes Q 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 /> Cham of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vols contain zero headspace? <br /> Yes ❑ No ❑ (None submitted ❑) Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> iDate Client Contacted Person Contacted <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 />