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Amon Laboratories Sample Receipt Checklist <br />' Client Name ATC Associates, Inc Date&Time Received 313012004 1640 <br /> Project Name Bozzano Property Client Project Number 5414885 0001 <br /> Received By D S Matrix Water [] Sod <br /> Sample Carrier Client ❑ Laboratory El Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number E03711 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br />' NIA Yes ❑ No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes ❑ 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 No ❑ <br />' Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes [] No ❑ <br />' ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Conacted <br /> Contacted By Subject <br />' Comments <br /> 1 <br /> iAction Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> ' Call Received By <br /> Comments <br /> �- <br />