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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 211712005 1516 <br /> Project Name Greer Constructon Client Protect Number 54 252910001 <br /> Received By M G Matrix. Water EJ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory [D Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number- F02351 <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 No ❑ Sufficient sample volume for requested tests?Yes ❑Q 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 Q No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes Q No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials oontain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes No ❑ <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!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />