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Amon Laboratories Sample Re`cei t Checklist <br /> Client Name: ATC Date&Time Received: 01/42/10 15:40 <br /> Project fume: WEST LANE FUELS Client Project Number: 54.26847.0001 <br /> Received By: G.S. Matrix: Water ❑ Soil Q Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory 21 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: K001023 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes No ❑' Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes No <br /> ❑ Sufficient sample volume for requested tests?Yes [] No ❑ <br /> Chain of custody present? Yes ❑ No ❑ Samples received within 4holding time? Yes ❑ No ❑ <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 G] 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: I <br /> Comments: <br /> 1 <br /> i <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST t OTHER i <br /> A' <br /> Contacted By: Date: Time: <br /> -Call Received By: <br /> Comments: <br /> I <br /> I <br />