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Argon Laboratories Sample Receipt Checklist <br /> hClient Name Condor Earth Technologies, Inc Date&Time Received 516/2004 16 15 <br /> Project Name 730 E Channel St Client Project Number 3849C <br /> Received By H C Matrix - Water ❑ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number EO5O21 <br /> Shipper Contamer in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> N1A Yes No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refngeration? Yes No ❑ Sufficient sample volume for requested tests?Yes [E No ❑ <br /> Chain of custody present? Yes E�3 No ❑ Samples received within holding time? Yes No <br /> Cham No Do samples contain proper preservative?of Custody signed by all parties? Yes ❑ ❑ p <br /> N/A ❑ Yes No ❑ <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted ❑ ) Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> 1 - ---- ----- -- -- <br /> Date Client Contacted 5&&L- <br /> Contacted <br /> O Person Conacted LGE b,Ps� <br /> Contacted By ��'� Subject Tit_ or`T7rssotVEI>7 <br /> Comments, lt4ciuk-v 3e #-rOT1L 01,J <br /> IAction Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> 1 <br />