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1 <br /> i Ar on Laboratories Sam le Recei t Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 3/16/2004 15 10 <br /> Protect Name Tuleburg Warehouse Client Protect Number 98 263 <br />' Received By D S Matrix Water 0 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon tabs Protect Number E03321 <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 0 No ❑ <br />' Cnain of custody present? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes [] No ❑ <br />' Cnain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes F-� 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 /> 1 <br />' Action Taken <br /> I <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br />' Call Received By <br /> Comments <br /> 1 <br />