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Argon Laboratories Sam le Recei t Checklist <br /> Client Name: Ground Zero Analysis Date&Time Received: 5/21/2004 14:30 <br /> Project Name: Knowles Roek Client Project Number: 186 <br /> Received By: E.P. Matrix: Water 0 Soil ❑ <br /> Sample Carrier: Client Q Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: E05321 <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 Q No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> ' Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes E] No ❑ <br /> ' Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes 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!OTHER <br /> ' Contacted By: - � YDate:-- �—`Time:— <br /> Call Received By: <br /> Comments: <br />