Laserfiche WebLink
o1 <I u r) <br /> Ar o aboratories Sample Receipt Checklist <br /> Client Name 6 e&Time Received 1 1 J <br /> �l � nr <br /> Protect Name � .if�{yF �Y _ Client Protect Number <br /> Received By C Matrix Water X Sod ❑ Other <br /> Sample Carrier Client Laboratory ❑ Fed Ex ❑ UPS ❑ 011ier ❑ <br /> Argon Labs Project Number 4 <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes No ❑ <br /> NIA ❑ r e-s No ❑ Samples received within holding time? Yes fa No ❑ <br /> Samples received under refrigeration') ees No ❑ fro samples contain proper preservative? <br /> i ❑ Yes No ❑ <br /> Cnain of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA ❑ Yes [ No ❑ <br /> Cnain of Custody signed by all parties? {es No ❑ VOA vials preservalive type <br /> HCL [:!� Na2S203 ❑ Other <br /> Gicrain <br /> of Custody matches all sample labelsv Do VOA vials contain zero headspace? <br /> "es �Nc ❑ NIA ❑ Yes No ❑ <br /> Samples received in proper containers? res No ❑ Samples received intact? Yes L� No ❑ <br /> ANY 'No' RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW —— — <br /> Date Client Contacted Person Contacted <br /> Contacted 8y _ Subject <br /> Comments <br /> Action Taken <br />