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s <br /> yh r <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Mame Ground Zero Analysis Date&Time Received 6/1012004 1240 <br /> Project Name Harry's Auto Client Project Number 327 <br /> Received By D S Matrix Water F±1 Sod ❑ <br /> Sample Carner Client ❑ Laboratory [] Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E06231 <br /> Shipper Container in good condition? Samples received in proper containers Yes ❑ No ❑ <br /> NIA Yes 0 No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests'?Yes Q No ❑ <br /> Chain of custody present? Yes 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 /> N/A ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vias contain zero headspace? <br /> Yes E No ❑ (None submitted ❑) Yes 2 No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Conacted <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 />