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I `F <br /> { <br /> n <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: ATG Associates, Inc, Date&Time Received: 3125/2005 16:00 <br /> Project Narne: Customer#37 Client Project Number: 54.25847.0037 <br /> Received By: M.G. Matrix: Water 0 Soil ❑ <br /> i <br /> Sampte Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ ups ❑ Other ❑ <br /> Argon Labs Project Number: F03691 <br /> Shipper Container in good condition? Samples received in proper containers? Yes f❑ No ❑ <br /> N!A Yes 0 No ❑ Samples received intact? Yes {] No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> �. Chain of custody present? Yes No ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [] No ❑ {None submitted ❑) Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: l <br /> Contacted By: Subject: <br /> Comments: <br /> i <br /> a <br /> Action Taken: <br /> I <br /> i ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By: Date: Time: <br /> Cak Received By: <br /> Comments:. <br /> S <br /> 4 <br /> k <br /> 5 <br /> 1 1 <br /> I! <br />