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Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Ana# sis Date&Time Received 6!1!2005 1430 <br /> Project Name Woolsey Charter Way Client Project Number 294 <br /> Received By E P Matrix Water 0 Soil ❑ <br /> Sample Carrier Client E Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Laos Project Number F06021 <br /> Shipper Container in good condition? Samples received in proper containers? Yes E] No ❑ <br /> NIA Yes 0 No ❑ Samples received intact? Yes 0 No ❑ <br /> Sam,pies re-ceived under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chan of custody present? Yes No ❑ Samples received within holding time? Yes El No ❑ <br /> Chain of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes Q No ❑ <br /> Cnain o,C..stody matches all sample lapels? Do VOA vials contain zero headspace? <br /> Yes EJ Na ❑ (None submitted ❑ J 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 Tal en <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date o�,/oma S Time YS <br /> Call Received By TA,-� <br /> Comments I Z, I <br />