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r <br /> r Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 3115/2005 1500 <br /> Project Name Harry's Auto Client Project Number 327 <br /> Received By P H Matrix Water 2) Soil ❑ <br /> Sample Carrier Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number F03391 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes Q 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 n'- No ❑ <br /> Chain of Custody signed by all parties? Yes F±] No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspaoe? <br /> Yes 0 No ❑ (None submitted ❑) Yes ❑ Na ❑ <br /> I <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> 0 Date Client Contacted �A� � Person Contacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST/OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> • <br /> --J - — - <br />