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Argon Laboratories Sample Receipt Checklist <br /> i <br /> Client Name: CET Date&Time Received: o--;p <br /> Project Name: _ S I Sl -US-1 t rud STIC A-11 Tient Project Number. 3.15 f J <br /> Received By: Fri- Matrix:_Water /1 oil / <br /> Sample Carrier: Client /1 a oratory / FedEx I UPS / <br /> Argon Labs Project Number. rm c�ti <br /> Shipping Container/Cooler in good condi6on? Samples received in proper containers? Yes No <br /> w <br /> Ate_Yes No Samples received Intact? Yes_ i _ No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yeses_ No <br /> Yes_ No <br /> Chain of Custody Present? Yeses No Samples received within holding time? Yes u No - <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes y, No N/A--,,A,_Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yeses_ No (None submitted-x _)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 /> OTHER <br /> Date Client Contacted: Person Contacted: <br /> Comments: <br />