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Arqon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis Date&Time Received: 10/10/08 10:45 <br /> Project Name: Gonzales Trucking Client Project Number: 400 <br /> Received By: CR Matrix: Water ❑ Soil Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory r7l Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: 1810028 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N/A Yes ❑ No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? 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 /> N/A E] Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted Q) 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 /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> r �• � A <br />