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1 <br /> Ar on� Laboratories Sample Receipt Check Ips# <br /> Client Name ATC Associates, lnc Date&Time Received 5/28/2004 <br /> Project Name Farmer Pro a 13 25 <br /> Client Protect Number 54 62596 0001 <br /> Received By E P Matrix <br /> Water Q Sod ❑ <br /> Sample Carrier Client 21 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E05521 <br /> Shipper Container in good condition? Samples received in proper containers Yes <br /> NIA Yes � [D No <br /> No ❑ <br /> ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes [] No <br /> ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes No <br /> ❑ Do samples contain proper preservative? <br /> ❑ (] ❑ <br /> Chain of Custody matches all sample labels? NIA Yes No <br /> Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted <br /> ❑) Yes 0 No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Conacted <br /> Contacted By Subject <br /> Comments <br /> I <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By - <br /> Date Time <br /> Call Received By <br /> Comments <br />