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f <br /> Ar on Laboratories Sample Receipt Checklist <br /> i <br /> Client Name Ground Zero Analysis Date&Time Received 6114!2005 1600 <br /> Protect Name Harry's Auto Client Project Number 327 <br /> Received By E P Matrix Water 0 Sod ❑ <br /> Sample Camer Client El Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number F06491 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> N/A Yes No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes [] No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative'? <br /> N/A ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ (None submitted ❑) Yes f,—/] 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 /> • <br />