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� u <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 11712004 1600 <br /> Protect Name Bozzano Property Client Protect Number 54 14885 0001 <br /> Received By HC Matrix Water [f Soil ❑ <br /> Sample Carrier Client ❑ Laboratory Q Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number E01121 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> N!A Yes Q No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 21 No ❑ ` <br /> Chain of Custody signed by all parties? Yes [ No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace) <br /> Yes Q No ❑ (None submitted Yes [] No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Conacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> i <br /> Call Received By <br /> Comments <br />