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l _ <br /> V <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis Date&,Time Received: 11212812004 15:15 <br /> Project Name: Joan Ray Company/Waterloo Client Project Number: 649 <br /> Received By: D.S. Matrix: Water Soil ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: E12661 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes Q No ❑ Samples received intact? Yes ❑ No I <br /> it <br /> Samples received under refrigeration? Yes [] No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes No <br /> Chain of Custody signed by all patties? Yes ❑ No ❑ Do samples contain'proper preservative? <br /> NIA Yes ❑ No I j <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ {None submitted Q) Yes ❑ No I j <br /> k <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 Taken: <br /> i <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> 'P <br /> t <br /> Contacted By: ' Date: t Time: <br /> Call Received By: <br /> Comments: <br /> 4 <br /> E <br /> I� <br />