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Argon Laboratories Sample Receipt Checklist <br /> Client Name 1 5 n _ I S Date&Time Received ! ! r i r �CP 0 0 <br /> Project Name �s —7E�-ry—CeA aD Dent Protect Number 5 M 9 ` 4 a_o 1_ <br /> Received By q? -Ai Yr �— Matrix Water Soil <br /> Sample Carrier Client 1aborato FedEx 1 JPS 1 <br /> Argon Labs Protect Number b 01q 3 <br /> Shipping Container 1 Coder rn good co dtron? Samples received in proper containers? YestuXo— <br /> Samples <br /> Zo <br /> N1A Yes No Samples received intact? Yes received under refrigeration?/ Sufficient sample volume for requested tests? <br /> Yes NoT Yes No <br /> Cham d Custody Present? Yes No Samples received within holding brae? Yasz No <br /> 1 Chain of Custody signed by all parbes? Do samples contain proper preservative? <br /> Yes :/No- NIA Yes - No <br /> Chain of Custody matches all sam7No <br /> Is? Do VOA vials contain zero headspaceg <br /> Yes (None submittedr__)Yes t/ No <br /> ANY"No"RESPONSE MUST BE DETAILED 1N THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Action Taken <br /> r <br /> r <br /> i� <br /> OTHER <br /> 1 Date 01)ent Contacted Person Contacted <br /> Comments <br />