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Amon Laboratories Sam le Receipt Checklist <br /> Client Name C7 SOV 1�tD 71:Q>-U At.1A LyS! Date&Time Received 6 !ZY 1 03 it./ <br /> • Project Name i Client y <br /> Number Project GD <br /> 1 <br /> Received By <br /> Matrix Water / od / <br /> Sample Camer Clie aborato / Fed=x 1 UPS 1 <br /> Argon Labs Project Number <br /> Shipping Container!Cooler in good concibon7 Samples received in proper containers? Yes �No <br /> NIA ✓Yes No Samples received intact? Yes ✓No <br /> Samples received under refngerabon? Sufficient sample volume for requested tests? <br /> Yes--t '-'-L No Yes �No <br /> Cham of Custody Present) Yest�No Samples received within holding time? Yes No <br /> Chain of Custody signed by all parbes� <br /> Do samples contain proper preservative? <br /> i <br /> Yes No <br /> NIA Yes ✓No <br /> Cham of Custody matches all sample label�9 Do VOA vials contain zero headspace? <br /> —Z <br /> Yes No {None submctted�Yes ✓ 1•l0 <br /> I <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> i <br /> . Dale Client Contacted Person Contacted <br /> Contacted by <br /> Subject <br /> Comments <br /> Acton Taken <br /> i <br /> I <br /> I <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br /> i <br /> I <br /> i <br /> I <br />