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t <br /> S Argon Laboratories .Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 11/24/2003 <br /> Project Name Farmer Property Client Project Number 54 62596 0001 <br /> Received By Hiram Matrix Water 0 Sod ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number D11601 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 7 No ❑ <br /> NIA Yes El No ❑ Samples received intact? Yes P/1 No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes ❑D No ❑ <br /> Chain of custody present? Yes 23 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 El No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <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)BEQUEST 1 OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> r� <br />