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Ar on Laboratories Sample Receipt Checklist <br /> Client!Name: Condor Earth Technologies, Inc Date&Time Received: 6/2312004 15:25 <br /> Project Name: Eckert Client Project Number: 3471 <br /> Received By: P.H. Matrix: Water Soil ❑ <br /> Sample Carrier: Client ❑ Laboratory ❑ Ped Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: E06531 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N!A Yes P] No ❑ Samples received intact? Yes E] No ❑ <br /> Samples received under refrigeration? Yes [f 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 No ❑ <br /> Chain of Custody matches all sample labels? Do V0A vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes 0 No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> __._ J <br /> Date Client Contacted: T _ 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: <br /> Comments: <br />