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Argon Laboratories Sample Receipt Checklist <br /> • Client Name: Ground Zero Analysis Date&Time Received: 2127/2004 14:25 <br /> Project Name: Knowles Rock Cfient Project Number: 186 <br /> Received By: P,H, Matrix: Water Soil ❑ <br /> Sample Carrier: Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: E02581 <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 F±] No ❑ Sufficient sample volume for requested tests?Yes [] No ❑ <br /> Chain of custody present? Yes 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 /> NIA ❑ Yes [) No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q 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 I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By.- <br /> Comments: <br /> y:Comments: <br /> i <br />