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AMon Laboratories Sampl ciChecklist <br /> Client Name: Ground Zero Analysis, Inc. Date&Time Received: 02/18/10 15:30 <br /> Project Name: Lionudakis Client Project Number: 815 <br /> Received By: I.C. Matrix: Water Soil Q Sludge ❑ <br /> Sample Carrier: Client 21 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: K002026 <br /> Shipper Container in good condition? Samples received in proper containers? Yes F11 No ❑ <br /> N/A Yes E] No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes No 0 Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes F No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> N/A Q Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted 0) 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 />