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x _ ihh <br /> f <br /> i <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis Date&Time Received: 11107107 16:17 <br /> Project Name: Wilbur-Ellis Client Project Number: —.594 <br /> Received By: AH Matrix: Water 0 Soil ❑ Sludge ❑ ' <br /> Sample Carrier: Client 21 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> I <br /> Argon Labs Project Number: H711016 <br /> Shipper Container in good condition? Samples received in proper containers? Yes [] No ❑ <br /> I <br /> NIA Yes 0 No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes No Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Yes Q 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 Q 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 <br /> omments:Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> t <br /> Comments: <br /> 1 <br /> i <br /> 1 <br />