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J 1 <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis, Inc. Date&Time Received: 05/11/11 14:10 <br /> Project Name: West Coast Tomato Investigation Client Project Number: 781 <br /> Received By: SH Matrix: Water ❑ Soil ❑ Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: L105018 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N/A Yes ED No ❑ Samples received intact? Yes 2 No ❑ <br /> Samples received under refrigeration? Yes R No ❑ Sufficient sample volume for requested tests?Yes 2 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 No ❑ (None submitted 0 ) Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments.- <br /> Action <br /> omments:Action Taken: <br /> ADDITIONAL TEST(S)REQUEST/OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br />