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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis Date&Time Received: 3/31/2005 16:40 <br /> Project Name: Lodi Fire Client Project Number. 664 <br /> Received By: P.H. Matrix: Water ❑ Soil <br /> Sample Cartier Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number. F03801 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N/A Yes Q No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> N(A 21 Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted Q) Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> i� Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> Action Taken: <br /> ADDMONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> C-3 <br />