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Argon Laboratories Sample Receipt Checklist <br />' Client Name Ground Zero Amalysis Date&Time Received 511712004 1245 <br /> Project Name Tuleburg Warehouse Client Project Number 98-253 <br /> IReceived By P H Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client Q Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number E05171 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N/A Yes Q No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes 2 No ❑ Sufficient sample volume for requested tests?Yes E) No ❑ <br /> Cham of custody present? Yes 0 No ❑ Samples received within holding time? Yes 21 No ❑ <br /> Chain of Custody signed by all parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes 2 No ❑ <br />' Chain of Custody matches all sample labels? Do VOA vials contain zero headspacel <br /> Yes ❑ No ❑ (None submitted ❑ ) Yes [ 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!OTHER <br /> Contacted By Date Time <br />' Call Received By <br /> Comments <br /> 1 <br />