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Argon Laboratories Sample Receipt Checklist <br /> CBent Name ATC Associates, Inc Date&Time Received 8/26/2004 1620 <br /> Project Name Farmer Property Client Project Number 54 62596 0001 <br /> Received By D S Matrix Water 2 Sol] ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E08541 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes Q No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes Fl� No ❑ <br /> Chain of custody present? Yes No Samples received within holding time? Yes 21 No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA v€als contain zero headspacV <br /> Yes No ❑ (None submitted ❑) Yes Q No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> I <br />