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Ar on Laboratories Sam le Recei t Checklist <br /> Client Name ATC Associates, Inc Date&' Time Received 10/15/2004 1253 <br /> Project Name Customer Tracy Client Project Number 54 25847 0037 <br /> Received By E P Matrix Water Q Soil ❑ <br />' Sample Carrier Client ❑ Laboratory Ped Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E10341 <br /> Shipper Container in good condition? Samples received in proper containers? Yes <br /> ❑ 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 Q No <br /> Chain of custody present? yes ❑ <br /> ❑ No Samples received within holding time? Yes No <br /> Chain 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 ❑ 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!OTHER <br /> Contacted By Date Y Y � T <br /> Time <br /> Call Received By <br />' Comments <br />