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1 <br /> � Argon L_aboratories Sample Receipt Checklist <br />' Client Name ATC Associates, Inc Date&Time Received 5/2812004 1325 <br /> Project Name Farmer Property Client Project Number 54 62596 0001 <br /> Received By E P Matrix Water [] Soil ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E05521 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br />' NIA Yes ❑ No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes F±] No ❑ Sufficient sample volume for requested tests?Yes [E No ❑ <br /> Cham of custody present? Yes ❑ No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes [] No ❑ <br />' Chain of Custody matches all sample labels? Do VOA vials contain zero headspace7 <br /> Yes ❑ No ❑ (None submitted ❑) Yes 0 No ❑ <br />' ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Oate Client Contacted Person Conacted <br /> Contacted By Subject <br /> ' Comments <br /> ' Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> ' <br /> Contacted By.___-- -- -- —_--__--------- Date__---__ —_�--Time-- -- <br /> Call Received By <br /> Comments <br />