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Fil, <br /> i <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: GeoPhase Env Date&Time Received: 08120/09 0:00 l <br /> Project Name: Welty _ Client Project Number: 607.2 a <br /> FJ Received By: SH Matrix: Water ❑ Soil ❑ Sludge ❑ <br /> Sample Carrier, Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: J908045 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes n No ❑ Samples received intact? Yes 0 No ❑ 3 <br /> Samples received under refrigeration? Yes E No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Ili Chain of custody present? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ i <br /> Chain of Custody signed by all parties? Yes ❑` No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes ❑ No ❑ <br /> ' Chain of Custody matches all sample labels? Do VOA vials coritain zero headspace7 <br /> Yes No ❑ (None submitted ❑) Yes ❑ No ❑ <br /> ij <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> i Date Client Contacted: Person Contacted: <br /> a <br /> Contacted By: Subject: <br /> r <br /> Comments. <br /> Sample received unpreserved <br /> S <br /> [ Action Taken: <br /> r7 <br /> k t <br /> ADDITIONAL TEST(S)REQUEST f OTHER <br /> Contacted By: _ Date: _. Time: <br /> f <br /> Call Received By: <br /> M Comments: <br /> r'7 <br /> r <br /> �4 <br />