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L <br /> I; <br /> C Argon Laboratories Sample Receipt Checklist <br /> '! <br /> Client Name: ATC Associates, Inc. Date&Time Received: 415/2004 16:40 <br /> Project Name: Glover Property Client Project Number: 54.17861.0001 <br /> Received By: H.C. Matrix: Water Q Soil ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS' ❑ Other ❑ <br /> Argon Labs Project Number: E04161 <br /> i Shipper Container in good condition?: Samples received in proper containers? Yes ❑ No ❑ <br /> N/A Yes No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> i <br /> i' <br /> Chain of custody present? Yes 21 No ❑ Samples received within holding time? Yes El No ❑ <br /> 'i <br /> Chain of Custody signed by all parties? Yes L�j No ❑ Do samples contain proper preservative? <br /> I N/A ❑ Yes. No <br /> rChain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> LYes ❑ No ❑ (None submitted ❑) Yes Q No ❑ <br /> ANY'i"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> f ------------------------------------- <br /> `�"� Date Client Contacted: ! Person Conacted: <br /> Contacted By: Subject: <br /> Comments: <br /> ii <br /> Action Taken: <br /> i <br /> C <br /> („ ADDITIONAL TEST(S)REQUEST/OTHER <br /> ---------=------------------------------ <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> ;I <br /> i <br /> f <br />