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i <br /> e <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis Date&Time Received: 9/16/2004 9:22 <br /> Project Name: Bowen I Lodi Client Project Number: 631 <br /> i <br /> Received By: E.P. Matrix: Water ❑ Soil M <br /> Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: E09401 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /># NIA YesQ No ❑ Samples received intact? Yes .Q No F-1 <br /> F Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> x <br /> Crain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 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 F±1 No ❑ (None submitted .�) Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> l 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 />