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Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 7/12/2004 1342 <br /> Project Name Wilbur-Ellis Client Protect Number- 594 <br /> Received By E P Matnx Water 21 Sod ❑ <br /> Sample Carrier Client [] Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number E07291 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes Q No ❑ Samples received intact? Yes No <br /> Samples received under refngeration? Yes No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes Q 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 No ❑ (None submitted ❑) Yes ❑Q No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Conacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />