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Arbon Laboratories SampleReceipt Checklist <br /> 4 <br /> Client Name: Geophase Environmental Date&Time Received: 06102/09 11:40 <br /> Project Name: Munoz Client Project Number: 605.1 <br /> Received By: SH Matrix: Water Soil ❑ Sludge ❑ <br /> Sample Carrier. Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: J906004 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> N/A Yes 0 No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes ❑ 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 ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VCA vials contain zero headspace? <br /> r^^ <br /> Yes No ❑ {None submitted ❑j Yes ❑ No ❑ <br /> l ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject. <br /> r Comments: <br /> F, <br /> f Action Taken: <br /> ADDITIONAL TEST(S)REQUEST f OTHER <br /> Contacted By: Date: — — <br /> Time: <br /> Call Received By. <br /> Comments: <br />�t. <br /> i <br /> I <br /> M <br />