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I <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis Inc. <br /> Date&Time Received: 01/26/11 9:32 `[ <br /> Project Name: Spreckels Sugar Client Project Number: 848 r <br /> Received By: D.C. Matrix: Water ❑ Soil ED Sludge ❑ dl <br /> Sample Carrier: Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ f <br /> Argon Labs Project Number: L101038 <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 No <br /> g ❑ ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of Custody present? Yes No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> N/A ❑� Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do V0A vials contain zero headspaos? ) <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: <br /> Contacted By: Subject: <br /> f <br /> Comments: <br /> Action Taken: <br /> ADDITIONAL TESTIS)REQUEST 1 OTHER <br /> Contacted By: Dale: Time: <br /> Call Received By: <br /> Comments: (� <br /> f <br /> r <br /> i <br /> i <br /> i <br /> ) <br /> i <br /> i <br />