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Argon Laboratories Sample Recei)t Checklist <br /> Client Name: ATC Associates, Inc. Date&Time Received: 6/4/2004 14:60 <br /> Project Name: Jamar Service Client Project Number: 54.26823.0001 <br /> ' Received By: P.H. Matrix: Water Q Soil ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: E06071 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> N!A 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 Q No ❑ <br /> Chain of Custody matches all sampie labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes Q No ❑ <br /> i <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/OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: T' <br /> Comments: <br />