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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 91312004 1505 <br /> Project Name N&S Irrigation Client Project Number 54 14981 0001 <br /> Received By D S Matrix Water 2 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory 21 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E09081 <br /> Shipper Container in good condition? Sampies received in proper containers? Yes No ❑ <br /> NIA Yes ❑ No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes [] No ❑ <br /> Chain of custody present? Yes 0 No Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes Q No ❑ <br /> Chain of Custody marches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑ ) Yes No ❑ <br /> i <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Cient Contacted Person Contacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> I <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Cal! Received By <br /> Comments <br />