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Ar on Laboratories Sample Receipt Checklist <br /> ti <br /> Client Name 4TC 4ssociates Inc Date&Time Received 2/24/2004 1655 <br /> Project Name Farmer Property Client Project Number 54 62596 0001 <br /> Received By P H Matrix Water 0 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E02461 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes 0 No ❑ Sampies received intact? Yes No ❑ <br /> Samples received unser refngerai Yes Q No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Cham of custody present? Yes 0 No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Cnain of Custody signed by all parues? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes El No ❑ <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑ ) Yes No ❑ <br /> ANY'li 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 /> Cal!Received By <br /> Comments <br /> i <br />