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� Argon Laboratories Sample Receipt Checklist <br />Client Name: <br />Ground Zero Analysis <br />Date & Time Received: <br />7/29/2004 11:35 <br />Project Name: <br />Palomino / Riverbank <br />Client Project Number: <br />618 <br />Received By: <br />P.H. <br />Matrix: Water ❑ <br />Soil <br />Sample Carrier: <br />Client ❑ Laboratory <br />7 Fed Ex ❑ uPS <br />❑ Other ❑ <br />Argon Labs Project Number: E07671 <br />Shipper Container in good condition? <br />Samples received in proper containers? Yes <br />No <br />❑ <br />NIA Yes <br />No <br />❑ <br />Samples received intact? . Yes <br />[] <br />No <br />❑ <br />Samples received under refrigeration? Yes <br />Q <br />No <br />❑ <br />Sufficient sample volume for requested tests? Yes <br />No <br />❑ <br />Chain of custody present? Yes <br />21 <br />No <br />❑ <br />Samples received within holding time? Yes <br />21 <br />No <br />❑ <br />Chain of Custody signed by all parties? Yes <br />E] <br />No <br />❑ <br />Do samples contain proper preservative? <br />N/A [21 Yes <br />❑ <br />No <br />❑ <br />Chain of Custody matches all sample labels? <br />Do VOA vials contain zero headspace? <br />Yes <br />No <br />❑ <br />(None submitted Yes <br />❑ <br />No <br />❑ <br />ANY "No" RESPONSE <br />MUST <br />BE DETAILED <br />IN THE COMMENTS SECTION BELOW <br />---------------------------------------- <br />Date Client Contacted: <br />Person Contacted: <br />Contacted By: Subject: <br />Comments: <br />Action <br />Contacted By: _ <br />Call Received By: <br />Commen <br />0 <br />ADDITIONAL TEST(S) REQUEST / OTHER <br />Date: Time: <br />