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Argon Laboratories Sample Receipt Checkl!st <br /> Client Name ATC Associates, Inc Date&Time Received 2!11/2005 1645 <br /> Project Name Diesel Performance Client Project Number 54 62577 0001 <br /> ' Received By E P Matrix Water ❑ Soil ❑ <br /> Sample Carver Client ❑ Laboratory Q Fed Ex ❑ UPS ❑ Other ❑ <br /> ' Argon Labs Project Number F02191 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> ' N!A 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 ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> N!A ❑ Yes Fj� No ❑ <br /> ' Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted ❑) Yes 2 No ❑ <br /> ' ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted aI os Person Contacted ��.n n t. _ �u ro.5�•l <br /> Contacted By 2.�N K• Subject <br /> rComments 144Ja ..At n 0.S �t 1 C" + oyq <br /> Y{, a r ,— 4c. — A� ItiGS <br /> CoAL"L o �L r`yor <br /> ' Action Taken tA v a- .0 r e-!5�e . <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> ' Call Received By <br /> Comments <br />