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Argon Laboratories Sam le Receipt Checklist <br />' Client Name Ground Zero Analysis _ Date&Time Received 8/3/2004 1245 <br /> Project Name Tulebur a Warehouse Client Protect Number 98-263 <br />' Received By P H Matrix Water 0 Sod ❑ <br /> Sample Carrier Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Protect Number E08021 <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 No ❑ <br /> Cham of custody present? Yes No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain cf Custody signed by all parties*> Yes [] No ❑ Do samples contain proper preservative? <br /> WA ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ (None submitted ❑) Yes No ❑ <br /> 1 <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Y 6 Person Contacted <br /> Contacted By 1�-✓1 Subject <br /> Comments C()C_ (Ck V--t� 2C <br />' Action Taken ��— <br /> NJ <br /> ADDITIONAL TESTIS)REQUEST!OTHER <br /> Contacted By Date Time <br /> iCall Received By <br /> Comments <br />