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Ar on Laboratories Sample Receipt checklist <br /> Client Name ATC Associates, Inc Date&Time Received 7/15/2004 1645 <br /> Protect Name Bozzano Property Client Project Number 54 14885 0001 <br /> Received By P H Matrix Water 21 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number E07371 <br /> Shipper Container in good condition? Samples received in proper containers? Yes [] No ❑ <br /> NIA Yes El No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes F�l No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 No El <br /> Chain of Custody signed by all parties? Yes 21 No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes CE No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑ ) Yes F--/1 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 I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />