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I <br /> Ar on Laboratories Sample Receipt Nt Checklist <br /> Client Name: ATC Associates, Inc. Date&Time Received: 4/8/2004 16:15 <br /> I, <br /> Project Name: Glover Client Project Number: 54.17861.0001 <br /> r Received By: H.C. Matrix: Water Soil ❑ <br /> L Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> i .l . <br /> Argon Labs Project Number: E04251 <br />!1 LShipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> i. NIA Yes Q No <br /> ❑ .Samples received intact? Yes No <br /> LSamples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes No E] <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes No <br /> i L Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes Q No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> L <br /> Yes No ❑ (None submitted ❑) Yes J No <br /> LANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> i <br /> Date Client Contacted: Person Conacted: <br /> Contacted By: Subject: <br /> Comments: <br /> ii <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> i <br /> i <br /> i <br />