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Amon Laboratories Sam le Recei t Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 3/30/2004 1345 <br /> Project Name Tuleburg Warehouse _ Client Project Number 98-263 <br /> Received By P H Matrix Water [D Sod ❑ <br />' Sample Carrier Client 0 Laboratory ❑ Fed Ex ❑ LIPS ❑ Other ❑ <br /> Argon Labs Project Number E03671 <br />' Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> NIA Yes Q No ❑ Samples received intact? Yes No ❑ <br />' Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes 0 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 0 No ❑ {None submitted ❑) Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW —— -- <br /> i <br />' Date Client Contacted Person Conacted <br /> Contacted By Subject <br />' Comments <br /> 1 <br /> Action Taken <br /> 1 <br /> 1 <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br />' Contacted By �------ -- ------Date-- ------ — Time <br /> Call Received By <br />' Comments <br /> I <br />