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I <br /> I <br /> A19 on Laboratories Sample Receipt Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 2/17/2004 1700 <br /> Project Name Tuleburge Wharehouse Client Project Number 98-263 <br />' Received By E P Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number E02331 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br />' NIA Yes Q No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes E] No ❑ Sufficient sample volume for requested tests?Yes [] No ❑ <br />' Cham of custody present? Yes 0 No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> i <br /> Chain of Custody signed by afl parties? Yes El No ❑ Do sampfes contain proper preservative? <br />' — <br /> N/A ❑ Yes 0 No ❑ <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑ ) Yes No ❑ <br /> I <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> • Date Client Contacted � T Person Conacted <br /> Contacted By Subject <br />' Comments <br />' Action Taken <br /> 1 <br /> ADDITIONAL TEST(S)REQUEST IOTHER __ —_ -----� <br /> Contacted By Date Time <br />' Call Received By <br /> Comments <br /> 1 <br />