Laserfiche WebLink
Argon Laboratories Sample Receipt Checklist <br /> Client Name: ATC Associates, Inc. Date&Time Received: 1012812003 16:53 <br /> Project Name: 221 Channel Client Project Number: 54.05257,5406 <br /> Received By: H C Matrix: Water ❑ Soil Q <br /> Sample Carrier: Client ❑ Laboratory 7 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: D10701 <br /> Shipper Container in good condition? Samples received in proper containers? Yes El No ❑ <br /> N/A Yes Q No ❑ Samples received intact? Yes <br /> ❑ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes 0 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 /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [] No ❑ (None submitted Q) Yes ❑ No ❑ <br /> -------ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> DateClient Contacted: Person Conacted: <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 />