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a <br /> Amon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis _ Date&Time Received 12/15/2003 1345 <br /> Protect Name Tuleburge Warehouse Client Project Number 98-263 <br />' Received By M G Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number D12361 <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 testV Yes No ❑ <br />' Chain of custody present) Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all partie0 Yes Q No ❑ Do samples contain proper preservative? <br />' <br /> NIA ❑ Yes Q No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑ ) Yes Q No ❑ <br /> I <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 />' Action Ta'i*en <br /> I <br /> ADDITIONAL TEST(S)REQUEST IOTHER --�–`—'-- -- <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> i <br />