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I <br /> t}y <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: ATC Associates, Inc. Date&Time Received: 4/7/2005 9:40 <br /> Project Name: Glover Property Client Project Number: 54.17861.0001 <br /> Received By: P.H. Matrix: Water El Soil ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> l <br /> Argon Labs Project Number: F04231 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> N/A Yes No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes E] No ❑ Sufficient sample volume for requested tests?Yes Q No <br /> I 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 ❑ Yes No ❑ <br />{ Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted ❑) Yes Q No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> I <br /> Contacted By: Subject: <br /> Comments: <br />{ <br /> l <br /> i <br /> Action Taken: <br /> i ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> s Call Received By: <br /> i Comments: <br /> i <br /> f <br />