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� +3• 1 <br /> Argon Laboratories Sam le Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 12/21/2004 1310 <br /> Protect Name Harry's Auto _ Client Protect Number 327 <br /> Received By D S Matrix Water 0 Soil ❑ <br /> Sample Carrier Client Q laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon labs Project Number E12501 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> N/A Yes No ❑ Samples received intact? Yes P� No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes ED 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 /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace7 <br /> Yes [] No ❑ (None submitted ❑) Yes No ❑ <br /> 1 <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> . Date Client Contacted Person Contacted — <br /> i <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> — ----- ----- ------- <br /> Contacted By Date Time <br /> Cal)Received By <br /> Comments <br />