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Argon Laboratories Sample Receipt Checklist <br /> Client Name T�' Date&Time Received 1 cJ 1 !G o� <br /> Protect Name { re- u k 1 (L— Client Project Number S`l S r yf <br /> uric <br /> Received By G Matnx ater Soil ! <br /> Sample Carrier Client ! aborato 1 FedEx ! UPS I <br /> Argon Labs Pro#ect Number _.{_j U S 3 / <br /> Shipping Container!Cooler m good condi0on? Samples received in groper containers? Yes No <br /> NIA - Yes No Samples received intact? Yes_ No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes C No Yes No <br /> Chain of Custody Present? Yes No Samples received within holding time? Yes X No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes 11C No WA Yes No <br /> Chain of Custody matches all sample labels? Do VOA Aals contain zero headspace? <br /> Yes k No (None submitted)Yes No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted by Subtect <br /> Comments <br /> Action Taken <br /> OTHER <br /> Date Client Contactea Person Contacted <br /> Comments <br />