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Amon Laboratories Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc Date&Time Received: 315!2004 15:30 <br /> Project Name: Boyett Petroleum T Client Project Number: 3761 <br /> Received By: E.P. Matrix: Water Soil ❑ <br /> Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: E03101 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes 0 No ❑ Samples received intact? Yes F�J No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes F/I 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 /> NIA ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ (None submitted ❑ J 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 TESTIS)REQUEST!OTHER <br /> Contacted By: Date: Time: <br /> Call Received By; <br /> Comments: <br />