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Argon Laboratories Sample Receipt Checklist <br /> Client Name: JR Squared Consulting, Inc. Date&Time Received: 11119/08 14:10 <br /> Project Name: Louise Ave Client Project Number: 2008021 <br /> Received By: CR Matrix: Water Soil ❑ Sludge ❑ <br /> Sample Carrier: Client 0 Laboratory ❑ Fed Ex ❑ uPS ❑ Other ❑ <br /> Argon Labs Project Number: 1811057 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑' No ❑ <br /> NIA Yes ❑Q No ❑ Samples received intact? Yes No ❑ <br /> ► Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes ❑Q No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes P] No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Dale Client Contacted: Person Contacted: <br /> Contacted By: _ Subject: _ <br /> Comments: <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time <br /> Call Received By: <br /> Comments: <br /> r <br />