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III <br /> � <br /> Ar on Laboratories Sample `� Rece� t Checklist <br />' Client Name Ground Zero Anal sts Date&Time Received 10/29/2003 <br /> Project Name Tulebur e Warehouse Client Project Number 98-263 <br />' Received By PDH Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number D10721 <br /> Shipper Container in good condition? Samples received in proper containers? Yes [] <br /> ❑ t•o <br /> NIA Yes ❑ No ❑ Samples received intact? Yes 0 No ❑ <br />' Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br />' Cham of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes 0 No ❑ <br />' Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes <br /> ❑ 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 /> 1 <br /> ADDITIONAL TESTIS)REQUEST!OTHER <br /> Contacted By Date <br /> Time <br /> Call Received By <br />' Comments <br /> 1 <br />