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1 <br /> Amon Laboratories Sample Recei t Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 3/24/2004 1650 <br /> Protect Name Tuleburg Warehouse Client Project Number 263 <br />' Received By E P Matrix Water ❑ Sod ❑ <br /> Sample Carver Client ❑ Laboratory EJ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number E03481 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br />' NIA Yes 0 No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refngeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br />' Chain of custody present? Yes ❑ No ❑ Samples received within holding time? Yes 0 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 No ❑ (None submitted ❑) Yes 0 No ❑ <br /> ^ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> IDate Client Contacted Person Conacted <br />' Contacted By Subject <br /> Comments <br /> I <br /> IAction Taken <br /> I I <br /> � ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> I <br />