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1 <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 4/27/2004 1352 <br /> Project Name Farmer Property Client Project Number 54 62596 0001 <br /> ' Received By E P Matrix Water ❑ Soil [D <br /> Sample Carrier Client ❑ Laboratory El Fed Ex ❑ UPS ❑ Other ❑ <br /> ' Argon Labs Project Number E04571 <br /> Shipper Container in good condition? Samples received in proper containers? Yes F,-] No ❑ <br />' NIA Yes [] No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> 1 Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br />' NIA ❑ Yes Q No ❑ <br /> Chain of Custody matches all sample labels? Oo VOA viats contain zero headspace? j <br /> Yes No ❑ (None submitted ❑) Yes <br /> ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Conacted <br /> Contacted 8y Subject <br /> Comments <br /> Action Tamen <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> 1 Cali Received By <br /> Comments <br />