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Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 11/12/2003 1410 <br /> Protect Name Knowles dammer Lane Client Protect Number 95-013 <br /> Received By P H Matrix Water 0 Soil ❑ <br /> Sample Carrier Client Q Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number D11161 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes No ❑ Samples received intact-) Yes <br /> ❑ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests'?Yes No ❑ <br /> Chain of custody presents 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 /> NIA ❑ Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [] No ❑ (None submitted <br /> ❑) Yes 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 /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> • <br />