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Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 2/20/2004 11 15 <br /> Project Name Knowles Hammer Lane Client Project Number 95-013 <br /> Received By E P Matrix Water 0 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory P] Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon tabs Project Number E02391 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes No ❑ Samples received intact? Yes (] No ❑ <br /> Samples received under refrigeratmn? Yes Q No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes [] No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [] No ❑ (None submitted ❑ ) Yes 0 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 /> Acton Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> d <br />