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I <br /> Argon Laboratories Sample Receipt Checklist <br /> 1 Client Name: ATC Associates, Inc. Date&Time Received: 04/12/10 13;25 <br /> r Project Name: Thiemann's Service Client Project Number: 54.62605.0001 <br /> Received By: M.G. Matrix: Water E] Soil ❑ Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory` ❑ Fed Ex ❑ UPS . ❑ Other ❑ v <br /> Argon Labs Project Number: K004020 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No <br /> NIA Yes ❑ No ❑ Samples received intact? . Yes fl No <br /> Samples received under refrigeration? Yes D No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes ❑' No ❑ Samples received within holding time? Yes ❑ No u <br /> Chain of Custody signed by all parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes ❑ No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ❑ No ❑ (None submitted ❑) Yes n 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 /> SAMPLES UNPRESSERVED,ARGON IS GOING TO RUN IT IN A 5-DAYS <br /> Action Taken.' <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> .Call Received By: <br /> Comments: <br /> r <br />