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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Condor Earth Techologies Date&Time Received: 05/04/10 14:05 <br /> Project Name: Sutterhome Winery Client Project Number: 3087M <br /> ' Received By: H.C. Matrix: Water ❑ Soil ❑ Sludge ❑ <br /> Sample Carrier: Client Q Laboratory ED Fed Ex ❑ UPS ❑ Other ❑ <br /> ' Argon Labs Project Number: K005005 <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 refrigeration? Yes D No ❑ Sufficient sample volume for requested tests?Yes 2 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 Fal No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes 2 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 Contacted: <br /> Contacted By: Subject: <br /> ' Comments: <br /> ' Action Taken: <br /> ADDITIONAL TESTIS)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> ' Call Received By: <br /> Comments: <br /> 1 <br />