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Argon Laboratories Sample Receipt Checklist <br /> ' Client Name ATC Associates, Inc Date&Time Received 61912004 1700 <br /> Project Name Farmer Property Client Project Number 54 62596 0001 <br /> Received By E P Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> 1 Argon Labs Project Number E06191 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br />' N!A Yes ❑ No ❑ Samples received intacO Yes [] No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests? Yes Q No ❑ <br /> Cham of custody present? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Cham of Custody signed by all parties? Yes [] No ❑ Do samples contain proper preservative? <br />' NIA ❑ Yes ❑ No [:1 <br /> Chain of Custody matches all sample labels' Do VOA vials contain zero headspace? <br /> Yes 21 No ❑ (None submitted ❑) Yes E] 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 /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST f OTHER <br /> Contacted By Date Time <br />' Call Received By <br /> Comments <br /> 1 <br />