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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 12!$12004 1600 <br /> Project Name Pacific Coast Recreation Client Project Number 5416393 0002 <br /> Received By M G Matrix Water ❑ Sod ❑ <br /> Sample Carrier Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number E12201 <br /> Shipper Container in good condition) Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes E No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes 0 No <br /> Cham of Custody signed by all parties? Yes ❑ No ❑ Do samples contain proper preservative <br /> NIA ❑ Yes M No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace) <br /> Yes E No ❑ (None submitted ❑) Yes 2 No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted , ZI Person Contacted �e <br /> Contacted By -?PPQ Subject OXYS <br /> Comments —9IcW 4,—L- �i4Y►'t"Pt�S L�� awn— <br /> r� U u Ira-¢', <br /> ['�dtAn.IV5 01J1,.1 Ta 4gynPr_ES JMe1- 44VoxxLgNu mEs 7-60Ue-,M�) <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />