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m. <br /> i <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time received 2/1012005 1035 <br /> Project Name USA Gas#110 Client Project Number 54 25912 00023 <br /> Received By M G Matnx Water ❑ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory E Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number F02151 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes ❑ No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration) Yes [ No ❑ sufficient sample volume for requested tests?Yes CJ No ❑ <br /> Cham of custody present? Yes ❑ No ❑ Samples received within holding tim0 Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes 0 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 E No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> I <br /> Contacted By Subject <br /> Comments <br /> i <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />