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1 <br /> Argon Laboratories Sample Receipt Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 11/24/2004 1715 <br /> Protect Name Tuleburg Warehouse Client Project Number 263 <br />' Received By H C Matrix Water ❑ Sod ❑ <br /> Sample Carrier Client El Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Protect Number E11601 <br /> Shipper Container in good condition? Samples received in proper containers? Yes - No ❑ <br />' NIA Yes Q No ❑ Samples received intact) Yes 0 No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes 0 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 0 No ❑ <br />' Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes E) 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 Taken <br /> I <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br />' Contacted By Date ` Time <br /> Calf Received By <br /> Comments <br /> I <br />