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-,:v s ,v- - -- - s -+n+r.--r.....r..7• mqwp, ,, <br /> •A k Arcion Laboratories Sample Receipt Checklist <br /> Client Name r, Z!� A,+J s Date&Time Received 12 or ! 11, 00 <br /> Project Name Ch r Client Protect Number Z11� <br /> Received BY C6 Matrix Water Soil ❑ Other _ <br /> Sample Carver Client ❑ Laboratory Fed Ex ❑ UI'S ❑ Other ❑ <br /> Argon Labs Project Number JS�-LOSb <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes 0� .No ❑ <br /> NIA ❑ Yes No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under reingeration? Yes E�J' No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br /> Chain of custody present9 Yes 0— No ❑ VOA vials with preservative? <br /> NIA ❑ Yes No ❑ <br /> Chain of Custody signed by all parties? Yes 0' No ❑ VOA vials preservative type <br /> HCL 5203 ❑ Other <br /> Cham of Custody matches all sample labels'? Do VOA vials contain zero headspace? <br /> Yes No ❑ N/A ❑ Yes No ❑ <br /> Samples recei�ed in proper containers Yes No ❑ Samples received intact? Yes ENo ❑ <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!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> Y <br /> v502 <br />