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1 <br /> Argon Laboratories Sample Receipt ,Checklist <br /> Client Name: Ground Zero Analysis Date&Time Received: 11118/2004 14:15 <br /> ' Project Name: Knowles Roek Client ProJect Number: 186 <br /> Received By: P.H. Matrix: Water 2 Soil ❑ <br /> ' Sample Carrier: Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number. E11401 <br /> ' Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N1A Yes No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding lime? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> ' NIA ❑ Yes -E No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspaoe? <br /> ' Yes j] No ❑ (None submitted ❑) Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW__ __ <br /> i Date Client Contacted: Person Contacted: <br />' ' • Contacted By: Subject: <br /> ' Comments: <br /> Action Takers: <br /> 1 <br /> ' ADDITIONAL TEST(S)REQUEST f OTHER <br /> ' Contacted 8y: Date: Time: <br /> Call Received By: <br /> ' Comments: <br /> i <br />