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Amon-Laboratories Sample Receipt_Checklist <br /> Client Name Condor Earth Technologies Date &Time Received 411312005 1050 <br /> Protect Name Canepa's Pacific St Client Protect Number 1707C <br /> Received By E P Matrix Water 0 Sod ❑ <br /> Sample Carrier Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number F04361 <br /> Snipper Container in good condition? Samples received�n proper containers? Yes ❑✓ No ❑ <br /> NIA Yes No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Cham of custody present? Yes No EJ Samples received within holding time? Yes 0 No ❑ <br /> Chain or Cusiody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes ❑ No ❑ <br /> Cnain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ (None submitted ❑) Yes P� No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted By Subject <br /> Comments <br /> Action Taker, <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />