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Argon Laboratories Sample Receipt Checklist Client Name: Advanced Chemical Transport Date & Time Received: 03124109 14:45 Project Name: Thule Towing Systems Client Protect Number: Parking Lot Clean Up Received By: H.C. Mavis Water ❑ Sot! ❑ Sludge ❑ Sample Cartier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ Argon Labs Project Number J903055 Shipper Container in good condition? WA_ Yes ❑ Samples received under refrigeration? Yes ❑� Chain d custotly presenl? Yes Chain of Custody signed by all parties? Yes Chan of Custody matches all sample labels? Yes ❑ Date Client Contacted: Contacted By: Taken: Contacted By: Call Received By _ ANY "No' RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW Person Contacted: Subject: -------------------------------- Date: Time: V 4 + w Samples received in proper containers? Yes ❑ No ❑ No ❑ Samples received intact? Yes No ❑ No ❑ Sufficient sample volume for requested tests? Yes ❑� No ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ No ❑ Do samples contain proper preservative? NIA ❑ Yes Q No ❑ Do VOA vials cmtan zero headspace? No ❑ {None submitted Q) Yes ❑ No ❑ ANY "No' RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW Person Contacted: Subject: -------------------------------- Date: Time: V 4 + w