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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATG Associates, Inc Date&Time Received 411512004 1605 <br /> Project Name 8ozzano Property Client Protect Number 54 14885 0001 <br /> Received By D S Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory El Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number E04381 <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 Q No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes 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 iabel0 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 /> Date Client Contacted Person Conacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST/OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />