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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Geo-Phase Environmental Date&Time Received: 02/03/14 13:20 <br /> Project Name: Cutter Client Project Number: 102.3 <br /> Received By: HC Matrix: Water ❑ Soil Sludge ❑ <br /> Sample Carrier: Client M Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: P402001 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N/A Yes Q No ❑ Samples received intact? Yes ❑Q No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes M No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> N/A EJ Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q 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: Subject: <br /> Comments: <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST t OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br />