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Amon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 3/2/2005 1250 <br /> Project Name Wilbur Ellis Client Project Number 594 <br /> Received By E P Matnx Water E Soil Q <br /> Sample Carrier Client ❑ Laboratory ❑ Ped Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number F03051 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> N/A--_ Yes Q 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 vials contain zero headspace? <br /> Yes 0 No ❑ (None submitted ❑) Yes Q No ❑ <br /> ANY"Noy RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> . Date Client Contacted Person Contacted <br /> I <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />