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4 � <br /> {1 <br /> Ar on Laboratories Sample Receipt- Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 12/16/2003 1500 <br /> Protect Name Souza's 11 LLC Client Protect Number 450 <br /> Received By D S Matrix Water 0 Soil ❑ <br /> i <br /> Sample Carrier Client Q Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number D12441 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ] No ❑ <br /> NIA Yes No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes No ❑ <br /> Cham of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes El No ❑ <br /> Cham 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 IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted T` Person Canacted ^` <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />