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• <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis Inc. Date&Time Received: 12114110 10:11 <br /> Project Name: Langum Client Project Number: NIA <br /> Received By: S.H. Matrix: Water ❑ Soil ❑ Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: K012031 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> WF— Yes ❑ No ❑ Samples received intact? Yes E] No ❑ <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes ❑� No ❑ <br /> Chain of custody present? Yes No ❑ Samples received vrithin holding time? Yes 121 No ❑ <br /> Chain of Custody signed by all parties? Yes ❑� No ❑ Do samples contain proper preservative? <br /> WA 21 Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ (None submitted F±)) Yes ❑ 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 /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> r <br />