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U <br /> C <br /> Argon Laboratories Sample Receipt Checklist <br /> CI Client Name: Lee&Pierce Date&Time Received: 10/31/06 10:00 <br /> Project Name: Beneto, Inc. 10842 Harlan Road Client Project Number: ` <br /> Received By: RS Matrix: Water ❑ Soil ❑ Sludge ❑ f <br /> Sample Carrier: Client ❑ Laboratory 2 Fed Ex ❑ UPS ❑ Other ❑ <br /> CArgon Labs Project Number: G610051 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ '� <br /> N/A` Yes No ❑ Samples received intact? Yes ❑. No ❑ <br /> �± Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ f <br /> 1 Chain of custody present? - Yes ❑ No ❑ Samples received within holding time? Yes ED No ❑ ` <br /> Ir Chain of Custody signed by all parties? Yes ED No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes 0 No ❑ <br /> L' Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes ❑ No ❑ <br /> ISL+: ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> ------=--------------------------------- <br /> �j Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> L <br /> Action Taken. <br /> L' <br /> a <br /> . .ADDITIONAL TEST($)REQUEST I OTHER <br /> LL Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> if *16 ♦ f <br /> L� <br />