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1 1 <br /> Amon Laboratories Sample Recei t Checklist <br /> Client Name: Condor Earth Technologies Date&Time Received: 06/29/06 14:46 <br /> Project Name: Ba rLeEte Manteca � _ Client Project Number: 3761 D <br /> Received By: H.C. Matrix: Water ❑ Soil ❑ Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon tabs Project Number: G606092 <br /> Shipper Container in good condition? Samples received In proper containers? Yes Q No ❑ <br /> WA_ __ Yes [] No ❑ Samples received Intact? Yes No ❑ <br /> Samples received under refrigeration? Yes ❑ 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 labels? Do VOA vias contain zero headspaee? <br /> Yes No ❑ (None submitted ❑) Yes Q No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> .Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Cclnrnents: <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted Sy: Date: Time; <br /> Call Received By: <br /> Comments: <br />