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� Arc <br /> ion Laboratories Sample Ree <br /> t Checklist <br /> F Client Name: Ground Zero Analysis,Inc. Date&Time Received: 06127106 16.26 .. <br /> Project Name: Tuff Bo Client Project Number: 335 <br /> Received By: C.R. Matrix: Water ❑ Soil Sludge ❑ <br /> r <br /> I Sample Carrier. Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: G606077 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> WA__ Yes ❑ Na ❑ Samples received intact? Yes ❑ 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 Wthiri:holding time? Yes No <br /> .p <br /> Chain of Custody signed by all parties? Yes Q No ElDo samples contain proper preservative? <br /> NIA [] Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? ii 1 <br /> Do VOA vials contaln zero headspace <br /> Yes Q 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: <br /> Comments: <br /> Action Taken: <br /> .i <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br />