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E. I LIE! <br /> 0-- I <br /> ENIVIRI O�1�,"'NT `SSL <br /> Argon Laboratories Sample Receipt Check lik Jts�,.:.;�.i <br /> Client Name: Apex Envirotech Inc Date&Time Received: 09/20113 11:20 <br /> Project Name: Williams Tank Lines Client Project Number: WIL02.003 <br /> Received By: S.H. Matrix: Water ❑ Soil 0 Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: N309035 <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 Q No ❑ Sufficient sample volume for requested tests?Yes R] 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 VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted Yes ❑ 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 /> r <br />