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I <br /> � <br /> Argon Laboratories Sample Receipt Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 11/17/2003 1400 <br /> Project Name Tuleburg Warehouse Client Project Number 98-263 <br />' Received By P H Matrix Water 0 Soil ❑ <br /> Sample Carrier Client El Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number 011321 <br /> Shipper Container in good condition? Samples received in proper containers? Yes [Q 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 Q 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 /> N/A ❑ Yes M No ❑ <br />' Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ (None submitted ❑7 Yes Q 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 /> I <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br />' Contacted By ^T T � Date � Time <br />' Call Received By <br /> Comments <br />