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I <br /> Argon Laboratories Sample Receipt Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 212312004 1755 <br /> Project Name Tuleburg Warehouse Client Project Number 263 <br /> Received By H C Matrix Water Q Sod ❑ <br />' Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E02441 <br />' Shipper Container in good condition? Samples received in proper containers? Yes ❑ 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 /> Chan 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 El No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> lie Date Client Contacted Person Conacted <br /> Contacted By Subject <br /> 1 Comments <br /> 1 <br /> Action Taken <br /> 1 <br />' ADDITIONAL TESTS REQUEST I OTHER <br /> Y^ ^——-- T— <br /> Contacted By Date --Time <br /> Cali Received By <br /> Comments <br /> 1 <br /> 1 <br />