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i <br /> Amon Laboratories Sam le Recei tCheckli• <br /> st <br /> 1 Client Name: RMC GEOSCIENCE <br /> Date&Time Received: 12/15/09 14:20 <br /> Project Name: Shadow Lake Paris <br /> Client Project Number: Shadow Lake park <br /> Received By: S.H. Matrix: Water <br /> ❑ Soil ❑ Sludge ❑ <br /> Sample Carrier! Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: 4912040 <br /> Shipper Container in good condition? Samples received in proper containers? Yes <br /> ❑ No ❑ <br /> N/A Yes Q No ❑ Samples received intact? ❑ <br /> i. Yes [� 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 0 ❑ <br /> No <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples Contain proper preservative? <br /> NIA ❑ Ygs [] No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No <br />' ❑ {None submitted ❑) Yes No ❑ <br /> 4 <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> i <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: { <br /> Comments. <br /> Action Taken: <br /> E . <br /> i ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> .Call Received By: 3 <br /> Comments: <br /> ) <br /> i <br /> f <br />