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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 4/8/2005 1505 <br /> ' Protect Name Farmer Property Client Protect Number 54 62596 0001 <br /> Received By P H Matrix Water ❑ Soil ❑ <br /> ' Samp{e Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number F04281 <br /> ' Shipper Container in good condition? Samples received to proper containers? Yes 0 No ❑ <br /> NIA Yes 0 No ❑ Samples received intact? Yes 0J No ❑ <br /> ' Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes ❑ 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 VCA vials contain zero headspace? <br /> Yes P-1 No ❑ (None submitted ❑ ) 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 /> 1 <br /> Actran Waken <br /> ' ADDITIONAL TEST(S)REQUEST I OTHER <br /> ' Contacted By Date Time <br /> Call Received By <br /> Comments <br />