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Ar on Laboratories Sam ie Kecei t checklist <br /> Client Name ATC Associates, Inc Date&Time Received 7/9/2004 1440 <br /> Project Name West Lane Fuels Client Protect Number 54 26874 0001 <br /> Received By H C Matrix Water 0 Sod ❑ <br /> Sample Carrier Client ❑ Laboratory 2 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E07281 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes [] No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes ❑ 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 E] No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [] No ❑ (None submitted ❑) Yes El No ❑ <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 Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />