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Araon Laboratories Sample Recei <br />Checklist <br />Client Name: Stockton Service <br />Date & Time Received: <br />1/2512007 <br />16:21 <br />Project Name: El Camino Tire <br />Client Project Number: <br />2498 East Main <br />Received By: EH <br />Matrix: <br />Water ❑ Soil ❑ <br />Sludge <br />❑ <br />Sample Carrier: Client ❑ Laboratory <br />❑ Fed Ex <br />❑ UPS ❑ Other ❑ <br />Argon Labs Project Number: H701052 <br />Sl Container in good condition? <br />Samples received in proper containers? <br />Yes <br />No <br />El <br />VA Yes <br />❑ <br />No ❑ <br />Samples received intact? <br />Yes <br />❑ <br />No <br />❑ <br />Samples received under refrigeration? Yes <br />No ❑ <br />Sufficient sample volume for requested tests? Yes <br />No <br />❑ <br />Chain of custody present? Yes <br />❑ <br />No ❑ <br />Samples received within helding time? <br />Yes <br />❑ <br />No <br />Chain of Custody signed by all parties? Yes <br />❑ <br />No ❑ <br />Do samples contain proper preservative? <br />NIA El <br />Yes <br />❑ <br />No <br />❑ <br />Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br />Yes <br />No ❑ (None submitted Q) Yes ❑ No ❑ <br />ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br />Date Client Contacted: _ Person Contacted: -- <br />Contacted By: Subject: — <br />Action Taken: <br />Contacted By: <br />Call Received By: <br />ADDITIONAL TEST(S) REQUEST i OTHER <br />Date: Time: <br />V 4.6 + A <br />