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Argon ries Sample Reggipt Checklist <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 El Soil 0 Sludge ❑ <br /> Sample Carrier: Client El Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: K002026 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> NIA Yes [] No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes R 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 No ❑ Do samples contain proper preservative? <br /> N/A Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted []) Yes ❑ No ❑ <br /> I <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 1 OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br />