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Amon Laboratories Sample Receipt Checklist <br /> . Client Name a� Date&Time Received 3 1 -S / 03 30 <br /> Profact Name syag: Client Project Number y5 <br /> Recaived By Matrix Water / Soil 1 <br /> Sample Camer Chen t abor o / FedEx I UPS 1 <br /> Argcn Labs Project Number 030 51 <br /> Shipping Container/Cooler in good condition? Samples received in proper containers? Yeses_. No <br /> N/A­,k Yes No Samples received intact? Yes <br /> Samples received under refrigeration? Sutfic+ent sample volume for requested tests? <br /> Yes;_ No Yes k No <br /> Cham of Custody Present? Yes X No Samples received within holding time? Yes X No <br /> Cham of Custody signed by all parties? Do samples contain proper preservatjve? <br /> Yes No NIA Yes A— No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yeses_ No (None submitted)Yes X No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> -- - - - - - - - - - - . -- _ _ -- _ _ -- - - . . . -- - - -- _ _ _.. _ - - - - - - _ V <br /> Date Client Contacted Person Contacted <br /> Con acted by Subject <br /> Comments <br /> Actfon Taken <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Gorr men s ` <br />