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Argon Laboratories Sample Receipt Checklist <br /> Client Name: cE-1 Date&Time Received: o" /oZ / 03 i• :/5 <br /> Project Name: _pior< c,c-,- saes-r' g A ncrvClient Project Number:_ Sts/J <br /> Received By: Ptt Matrix: a er / Soil / <br /> Sample Carrier: Client / a ofL"�ra-Fo►v-/ FedEx / UPS / <br /> Argon Labs Project Number. pcn o t <br /> Shipping Container/Caoler in good condition? Samples received in proper containers? Yes y_ No <br /> N/A--�(_Yes No Samples received intact? Yes <br /> _) No " <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes Y No Yes k No <br /> Chain of Custody Present? Yeses_ No Samples received within holding time? Yes_x_ No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yeses_ No N/A Yes No <br /> Chain of Custody matches all sample labels? <br /> P Do VOA vials contain zero headspace? <br /> Yes x No (None submitted_)Yes�e 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 />