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E <br /> Argon Laboratories Sample Receipt Checklist <br /> i <br /> Client Name: Ground Zero Analysis Date&Time Received: 01/24/11 12:12 <br /> Project Name: freckles Sugar Client Project Number: 848 <br /> Received By: AH Matrix: Water ❑ Soil 0 Sludge <br /> Sample Carrier: Client 2 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: L101033 f <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N/A_ Yes Q No. ❑ Samples received intact? Yes Q No ❑ f <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <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 /> NIA E] Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? - - <br /> j Yes_ ❑ No ❑ (None submitted ❑) Yes ❑ No ❑ <br /> II ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW If <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> i <br /> Action Taken: <br /> I� <br /> f <br /> { <br /> ADDITIONAL TEST(S)REQUEST/OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> r <br /> I <br />