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Argon Laboratories Sample Receipt„Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 11111/2004 1625 <br /> Project Name USA Gas#110 Client Project Number 54 25912 0003 <br /> Received By P H Matrix Water [Z Soil ❑ <br /> Sample Carrier Client ❑ Laboratory Q Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E11301 <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 (] No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Cham of Custody signed by all parties? Yes 21 No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes D No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 21 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 /> 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 />