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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Lee&Pierce Date&Time Received: 06/20/11 15:11 <br /> Project Name: Freemont Gate LLC Client Project Number: 10759 <br /> Received By: D.C. Matrix: Water ❑ Soil 0 Sludge ❑ <br /> Sample Carder: Client ❑ Laboratory Fal Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: L106039 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑D No ❑ <br /> N/A_ Yes No ❑ Samples received intact? Yes EJ 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 within holding time? Yes ID 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 E]) , 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 />