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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 6/2212004 1615 <br /> Protect Name Pacific Coast Recreation Client Protect Number 5416393 0002 <br /> Received By E P Matrix Water Sod ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number E06501 <br /> i <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> NIA Yes ❑ No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes (] No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes No ❑ Samples recewed within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted ❑ ) Yes Q 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)REQUEST I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />