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.-..... S.S�"��...--.. .-..�_--,.� �- y....... ,..:w r.`-`-ter«....�-.«-..�-.��.-...-...........�.....`-�-�.«,-..-...�.. ..�'��-..-w���-L'- -.«..�-,.......�., "..,. <br /> ';t r, Ir {►� qon Laboratories Sample Receipt Checklist <br /> / Client Name , t� C_ S Date&Time Received r - <br /> `� - <br /> Protect Name nn Client Project Number ��6`�t►-1 <br /> Received By CZ Matrix Water D� Sod ❑ Other <br /> Sample Carver Client E�_ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Projecl Number C-1(d03CGzLA <br /> -- Shipper Container in good condition? Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> NIA ❑ Yes No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? ,--✓ <br /> NIA ❑ Yes L 7 No ❑ <br /> Cham of custody present? Yes [�' No ❑ VOA vials with preservative? <br /> NIA ❑ Yes No ❑ <br /> Cham of Custody signed by all parties? Yes [�- No ❑ VOA vials preservative type <br /> HCL Na2S2O3 ❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vats contain zero headspace? <br /> Yes No ❑ NIA ❑ Yes No ❑ <br /> Samples received m proper containers? Yes No ❑ Samples received znlact? 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 I OTHER <br /> Contacted By Date3-1 <br /> -2-0 Time <br /> Call Received By <br /> Comments <br /> r. <br /> v502 <br />