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Amon Laboratories Sample Recei t Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 9129/2004 1040 <br /> Project Name Farmer Property_ Client Project Number 54 62596 0001 <br /> Received By M G Matrix Water ED Soil ❑ <br /> Sample Carrier Client ❑ Laboratory [] Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E09731 <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 ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes ❑ 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 ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace'? <br /> Yes ❑ No ❑ (None submitted ❑) Yes ❑ No ❑ <br /> `_____ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW — <br /> Date Client Contacted 0� Person Contacted L �� <br /> Contacted By YtJ►b� Subject <br /> Comments a KAU <br /> 6 0 U , <br /> Action Taken A 0Q Vt— <br /> 2A a <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />