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h <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis Date&Time Received: 12129/10 17:00 <br /> Project Name: Spreckles Sugar Client Project Number: 848 ` <br /> Received By: MG Matrix: Water ❑ Soil 21 Sludge! ❑ <br /> Sample Carrier: . Client 0 Laboratory ❑ Fed Ex ❑ uPS ❑ Other ❑ <br /> Argon Labs Project Number: K012067 <br /> Shipper Container in good condition? Samples received in proper containers? Yes E No ❑ <br /> j <br /> NIA Yes F11 No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes 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 ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ❑ No ❑ (Nonesubmitted ❑) 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 /> i <br /> ADDITIONAL TESTIS)REQUEST/OTHER, <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> 1 <br /> �k <br /> a <br />