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Argon Laboratories Sample Receipt Checklist <br /> SClient Name A TC- Date&Time Received /V / 3y 1 0"- <br /> Project <br /> zProject Name W-0)1 11 ec Eyr JK Client Project Number S y 75-) 'q f <br /> Received By F1 C— Matrix Wate 1 Sal 1 <br /> Sample Camer Client 1 aborato / FedEx / UPS 1 <br /> Argon labs Project Number C 10 5Y <br /> Shipping Container/Cooler in good condition? Samples received in proper containers? Yes fi No <br /> WA 1'C Yes No Samples received intact? Yes-}< No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes )G No Ye;-,- No <br /> Chain of Custody Present? Yes X No Samples received within holding time? Yes A- No <br /> Chain of Custody signed by all partes? Do samples contain proper preservative? <br /> Yes X No NIA Yes-k- No <br /> Chain of Custody matches all sample labels? Do VOA wals contain zero headspace? <br /> Yes k No (None submitted Yeses 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 />