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Argon Laboratories Sample Receipt Checklist <br /> Client Name: ATC Associates, Inc. Date&Time Received: 12/02109 16:20 <br /> Project Name. TRACY TRUCK STOP Client Project Number: 54.39426.0001 <br /> Received By: S.H. Matrix: Water ❑ Soil 2 Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory E Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: J912010 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> INA Yes No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes El No ❑ Samples received vinthin holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes F±1 No ❑ Do samples contain proper preservative? <br /> N/A 0 Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ❑Q 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 I OTHER <br /> Contacted By: 'Date: Time: <br /> -Call Received By: <br /> Comments: <br /> r <br />