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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 1/2/2004 1505 <br /> Project Name Tuleburg Warehouse Client Project Number 11-263 <br />' Received By P H Matrix Water 0 Soil ❑ <br /> Sample Carrier Client Q Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number E01001 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br />' N/A Yes 0 No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br />' Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes 2 No ❑ Do samples contain proper preservative? <br />' — NIA ❑ Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspacel <br /> Yes 0 No ❑ (None submitted ❑) Yes 0 No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br />'• Date Client Contacted R T Person Conacted <br />' Contacted By Subject <br /> Comments <br /> 1 <br /> 1 Action Taken <br /> 1 <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> 1 Call Received By <br /> Comments <br /> 1 <br /> i <br /> 1 <br /> 1 <br />