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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysiis Date&Time Received: 12129/10 17:00 <br /> Project Name: Langum Client Project Number: 852 <br /> Received By: MG Matrix: Water ❑ Soil 0 Sludge ❑ <br /> Sample Carrier: Client El Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: K012066 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> NIA_ Yes Fz] No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes [D No ❑ Sufficient sample volume for requested tests?Yes F±] No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes 11 No ❑ <br /> Chain of Custody signed by all parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> N/A 0 Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ❑ No ❑ (None submitted 0) 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($)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> r <br />