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1 <br /> Ar on Laboratories Sample Recei t Checklist <br /> 1 <br /> Client Name A-7T— Date&Time Received 0-7 1 O 1 <br /> Project Name N $ 5 Lrr'r ?on Client Project Number5 , oar t <br /> Received By :LF-) 0 <br /> Matrix iter l Soil 1 <br /> ' Sample Career Client 1 abora# 1 Fedl=x 1 UPS 1 <br /> ' Argon Labs Project Number Do-1 ;-3- 1 <br /> Shipping Container I Coder in good condition? Samples received in proper containers? Yes e' No <br /> NIA Yes _ No Samples received intact? Yes No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes No Yes `� No <br /> ' Chain of Custody Present? Yes2 No Samples received within holding time? Yes No <br /> Cham of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes v' No NIA Yes '� No <br /> Chan of Custody matches all sample labels? Do VOA vials contain zero headspace'> <br /> Yes No (None submitted—)Yes No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted <br /> Person Contacted <br /> ' Contacted by Subject <br /> Comments <br /> Action Taken <br /> i <br /> OTHER <br /> ' Date Client Contacted Person Contacted <br /> Comments <br />