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i • <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Enviro Asses Date&Time Received: 04/10/14 17:05 <br /> Project Name: Auto Center Circle Client Project Number: 2014-03-005 <br /> Received By: IC Matrix: Water ❑ Soil 0 Sludge ❑ <br /> Sample Carrier: Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: P404009 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> NIA Yes No ❑ Samples received intact? Yes P-1 No ❑ <br /> Samples received under refrigeration? Yes 2 No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes E No ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> NIA Q Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted F]) 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 /> Comments: <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> r <br />