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A <br /> Amon Laboratories Sample Receipt Checklist t <br /> Client Name: Ground Zero Analysis, Inc. Date&Time Received: 02/01/11 14:20 <br /> Project Name: Spreckels Sugar Client Project Number: 848 <br /> Received By: D.C. Matrix: Water ❑ Soil Sludge ❑ <br /> Sample Carrier: Client Laboratory. ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: L102016 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA. Yes 0 No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> } <br /> Chain of custody present? Yes 0 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 /> NIA El Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspaee? <br /> Yes Q No ❑ (None submitted 0 Yes ❑ <br /> No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW t <br /> -------------- __— ---------------__------- <br /> i <br /> Date Client Contacted: Person Contacted: <br /> i <br /> Contacted By: Subject: <br /> i <br /> Comments: <br /> - I <br /> i <br /> i <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER . <br /> Contacted By: Date: Time: _ <br /> Call Received By: ; <br /> Comments: <br />