ARCHIVED REPORTS XR0011893 - Laserfiche WebLink

Home Browse Search

Argon Laboratories Sample Receipt Checklist Client Name: ATC Associates, Inc. Date&Time Received: 1/26/2005 16:55 Project Name: Glover Property Client Project Number: 54.17861.0001 Received By: P.H. Matrix: Water Q Soil ❑ Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ Argon Labs Project Number: F01411 Shipper Container in good condition? Samples received in proper containers? Yes No ❑ rN/A Yes 21 No ❑ Samples received intact? Yes Q No ❑ �.+ Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes es ❑ No ❑ Chain of custody present? Yes 21 No ❑ Samples received within holding time? Yes 0 No ❑ Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? N/A ❑ Yes Q No ❑ Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? Yes No ❑ (None submitted ❑) Yes Q No ❑ ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW Date Client Contacted: Person Contacted: t Contacted By: Subject: C; Comments: i 1 I I Action Taken: j i i� I ADDITIONAL TEST(S)REQUEST I OTHER j I------------------- -- Contacted By: Date: Time: Call Received By: j Comments: i r s i i r