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Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 11121/2003 1455 <br /> Project Name Knowles Hammer Client Project Number 95-013 <br /> Received By P H Matrix Water ❑ Sod Q <br /> Sample Carrier Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number D11541 <br /> Shipper Container in good conditions Samples received in proper containers? Yes 0 No ❑ <br /> NIA Yes p No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes ❑ 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 /> N/A Q Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspaoe7 <br /> Yes No ❑ (None submitted 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!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> i ' <br />