Laserfiche WebLink
Amon Laboratories Sample Receipt Checklist <br /> • Client Name- & - • Date&Time Received 3 1 �-z /Oz t2 5F,> <br /> - <br /> Project Name �_u ;F��`� Client Protect Number 3-5L5 <br /> Received By t Matnx Water Sod I <br /> Sample Camer 4tlient 1 Laboratory 1 FedEx 1 UPS 1 <br /> Argon Labs Protect Number CO J 3�2 <br /> Shipping Container 1 Cooler in good condition? Yes No N/A <br /> Samples received under refngeratton? Yes--!!!L*" No <br /> Cham of Custody Present? Yes ✓No <br /> Cham of Custody signed by all parties? Yes `l�No <br /> Cham of Custody matches all sample labels? Yes�No <br /> Samples received in proper containers? Yes ✓No <br /> Samples received intact? Yes—' 7 No <br /> Sufficient sample volume for requested tests9 Yes No <br /> Samples received within holding time? Yes ✓No <br /> Do samples contain proper preservative? Yes c✓ o NIA <br /> Do VOA vials contain zero heads ace? Yes �/ No None submitted <br /> p � -- .} <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> r <br /> Action Taken <br />