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>� Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 11/24/2004 1715 <br /> Project Name Knowles Hammer Lane Client Project Number 95-013 <br /> Received By E P Matnx Water 0 Sod ❑ <br /> Sample Carrier Client El Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number E11591 <br /> Shipper Container in good condition'? Samples received to proper containers? Yes ❑ No ❑ <br /> NIA Yes [] No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received ander refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes [ No ❑ <br /> Chain of custody presents Yes 0 No ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative) <br /> WA ❑ Yes F±] No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes Q 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 Time <br /> Call Received By <br /> Comments <br />