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Argon Laboratories Sample Receipt-Checklist <br /> Client Name ATC Associates,Inc Date&Time Received 117/2005 1650 <br /> Project Name Diesel Performance Client Protect Number 54 62577 0001 <br /> ' Received By H C Matrix Water ❑ Soil ❑ <br /> Sample Carver Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> ' Argon Labs Project Number F01061 <br /> Shipper Container in good condition? Samples received in proper containers? Yes [] No ❑ <br /> ' NIA Yes Q No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Cham of Custody signed by all parties? Yes [] 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 [f 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 /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> ' Call Received By <br /> Comments <br /> 1 <br />