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l <br /> :v. <br /> Amon Laboratories Sample Receipt Checklist <br /> Client Name: ATC Associates, Inc. Date&Time Received: 11/18/2004 14:35 <br /> t Project Name: Glover Property Client Project Number: 54.17861.0001 <br /> Received By: M.G. Matrix: Water Soil ❑ <br /> Sample Carrier: Client ❑ Laboratory ] Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: El 1451 <br /> Shipper Container in good condition? Samples received in proper containers? Yes P� No ❑ <br /> N/A Yes No ❑ Samples received intact? Yes EJ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes 7 No ❑ <br />( Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes F"� No ❑ <br /> I Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 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 /> �✓ Contacted By: Subject: <br /> Comments: <br /> i <br /> Action Taken: <br /> I <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> I Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> f. <br />