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1 11 <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 10/29/2003 415 <br /> Project Name Tulebur a Warehouse Client Project Number 98-263 <br /> Received By DS Matrix Water 0 Sod ❑ <br /> Sample Carrier Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number D10451 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes Q 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 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all partes? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes El No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes (] No ❑ {None submitted ❑) Yes [] No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> . Date Client Contacted T Person Conacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time _ <br /> Call Received By <br /> Comments <br />