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�ti ■ <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysts Date&Time Received 11/23/2004 1540 <br /> Project Name Woolsey Charter Way Client Project Number 294 <br /> Received By D S Matrix Water 0 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory r] Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number El 1531 <br /> Shipper Container in good condition? Samples received in proper containers'? Yes E No ❑ <br /> NIA Yes ❑ No ❑ Samples received intact? Yes E] No ❑ <br /> Samples received under retngeration7 Yes No ❑ Sufficient sample volume for requested tests?Yes [] No ❑ <br /> Chain of custody present? Yes No Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all partes'? Yes [] No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace7 <br /> Yes ❑ 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 /> Acton Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />