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4 <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 10/27/2003 <br /> Project Name Farmer Pro a Client Project Number 54 62586 0001 <br /> Received By PH Matrix Water 2 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory Q Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number D10681 <br /> Shipper Container in good condition? Samples received in proper containers? Yes FJ-1 No ❑ <br /> NIA ✓ Yes ❑ No ❑ Samples received intact? Yes (] No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes 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 No ❑ <br /> Chain of Custody matches all sample labeI0 Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑ } Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> iDate Client Contacted Person Conacted — -- — <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Cali Received By <br /> Comments <br /> i <br />