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t A <br /> S, <br /> w �A <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 1/24/2005 1000 <br /> Protect Name Pacific Coast Recreation Client Protect Number 5416393 0002 <br /> Received By D S Matrix Water Q Soil ❑ <br /> Sample Camer Client Q Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number F01341 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes Q No ❑ Samples received intact? Yes [] No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes E] No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑ ) Yes Q 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 /> •1 <br />