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Argon Laboratories Sample <br /> _g p Receipt Checklist I <br /> Client Name: Ground Zero Analysis Date&Time Received: 12129/10 17:00 <br /> Project Name: Spreckles Sugar Client Project Number: 1 848 <br /> Received By: MG Matrix: Water ❑ Soil Sludge ❑ <br /> Sample Carrier. Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: K012068 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 - No ❑ <br /> N/A Yes Q No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes 2 No ❑- Sufficient sample volume for requested tests?Yes Q No ❑ li <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding lime? Yes 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 Q No ❑ (None submitted Q) Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> i <br /> Contacted By: Subject: f <br /> Comments: <br /> Action Taken; <br /> I <br /> ADDITIONAL TESTS)REQUEST/OTHER <br /> i t <br /> Contacted By: Date: Time: <br /> i <br /> Call Received By: <br /> Comments: <br /> w <br /> r <br /> i <br />