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4 <br /> M <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name A -Y�5f 5 Date&Time Received a`( / 0 - /Oz- it y� <br /> Project Name —6 0 Lt Z A- � Client Project Number <br /> Received By Matrixater moil 1 <br /> Sample CarneyC, Laborata 1 FedEx / UPS 1 <br /> Argon Labs Project Number CCq 0 z'( <br /> Shipping Container/Cooler in good condtion? Samples received in proper containers? Yes k No <br /> NIA X Yes No Samples received intact? Yes_„�C__ No <br /> Samples received under refigeration? Sufficient sample volume for requested tests? <br /> Yes No Yes No <br /> Chain of Custody Present? Yes X No Samples received within holding time? Yes )L No <br /> ChaEn of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes Y No NIA Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes X 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 /> I <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />