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Araon Laboratories Sample Receipt Checklist Client Name: Advanced Chemical Tarnsport Date & Time Received: 04/11/14 Project Name: Parts Washer program Client Project Number: N/A Received By: SH Matrix: Water 0 Soil ❑ Sludge ❑ Sample Carrier: Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ Argon Labs Project Number: P404011 13:52 Shipper Container in good condition? Samples received in proper containers? Yes No ❑ N/A Yes No ❑ Samples received intact? Yes No ❑ Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests? Yes No ❑ Chain of custody present? Yes No ❑ Samples received within holding time? Yes 0 No ❑ Chain of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? NIA ❑ Yes P-1 No ❑ Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? Yes No ❑ (None submitted ❑ ) Yes No ❑ Date Client Contacted: Contacted By: ;omments: Action Taken: ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW Person Contacted: Subject: ADDITIONAL TEST(S) REQUEST I OTHER Contacted By: Date: Time: Call Received By: Comments: V 4 ♦ 4