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Irl c s� <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 712/2004 1430 <br /> Project Name Pacific Coast Rec Client Protect Number 5416393 0002 <br /> Received By D S Matrix Water 2 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon tabs Protect Number E07111 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> NIA Yes [] No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes 0 Na ❑ Samples received vrithm holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> f NIA ❑ Yes Q No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes E) No ❑ (None submitted ❑) Yes Q No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Conacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> i <br /> i <br />