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I <br /> Argon Laboratories Sample Receipt Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 12/30/2003 . <br /> Project Name Tuleburg Client Project Number 263 <br />' Received By Susan Matrix Water ❑ Sod ❑ <br /> Sample Carrier Client ❑ Laboratory Q Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number D12721 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br />' NIA Yes Q No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample v&—me for requested tests?Yes No Q` <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes No <br />' Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain pfoper preservative) <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 No ❑ <br />' ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION <br /> ------ ---_--__ -- ----- -- BELOW--------- <br />'. Date Client Contacted 111.3 f 1.3 f Di <br /> Person Conacted Jof}ri 1AkJr_ <br /> Contacted By 7 Au L_ Subject _&h2:t EMO Liln± VP A i!!k u <br />' Comments7Zrz;✓ VCA yt/}t-5 4 xE_'JEEL7utZ-»;-> > S�arGr FD VDI TEs7� <br /> ZE5V -r>, Lnik VTC A lzktcli) Cia►.�GEL f+LGGraL� ANA�Y,StS <br />' Action Taken <br /> i <br /> i <br /> ADDITIONAL TEST(S)REQUEST j OTHER <br /> Contacted By Date Time <br /> ICall Received By <br /> Comments <br /> I <br /> I <br />