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Ar on Laboratories Sam le Re <br /> ce�N# Checklist <br /> Client Name: Ground Zero Analysis Date&Time Received: 4/7/2005 <br /> Project Name: Lodi Tire ---------- 16:10 <br /> Client Project Number: 664 <br /> Received By P.H. Matrix WaterED❑ Soil <br /> Sample Carrier, Client 21 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number. F04251 <br /> Shipper Container In good condition? <br /> Samples received in proper containers? Yes Q No ❑ <br /> WA Yes No ❑ Samples received intact? <br /> Yes [] No ❑ <br /> Samples received under refrigeration? yes ❑ No ❑ Sufcient sample volume for requested tests?Yes Q No <br /> Chin of custody present? yes ❑ ❑ ❑ <br /> 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 /> WA ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED W THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject <br /> Comments: <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST/OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> L . <br /> G-3 <br />