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Argon Laboratories Sample Receipt.Checklist <br /> IClient Name ATC Associates, Inc Date&Time Received 10/29/2003 <br /> Project Name RPMSIFormer EZ Serve#1009( Client Project Number 54 25827 2616 <br /> IReceived By Paul Matrix Water 2 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory El Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number D10751 <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 tests?Yes 0 No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes oo ❑ <br /> iChain of Custody matches ail sample labels? Do VOA vials oontan zero headspace? <br /> Yes [J No ❑ (None submitted ❑ ) Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTIO <br /> --- ----_— N BELOW <br /> Date Client Contacted Person Conacted — <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> 1 Call Received By <br /> Comments <br /> Alit <br />