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Ar on Laboratories Sample Receinit Checklist <br /> Client Name: ATC A S SoC irtPS <br /> Date&Time Received: DSI 2o/ 0 3 j S.30 <br /> Project Name: S tock to vl L-2,'4 L Cart Client Project Number: S a (;-7 L . 6 O DZ <br /> Received By: C. Matrix: Water oil ! <br /> Sample Carrier: Client eborato I edEx I UPS I <br /> Argon Labs Project Number: <br /> Shipping Container/Cooler in good 0 clition? Samples received in proper containers? Yes f No <br /> WA Yes ✓ No Samples received intact? a -/ <br /> Y s No <br /> Samples received under refrigeration?/ Sufficient sample volume for requested tests? <br /> Yes �/ Nc Yes 'f No <br /> Chain of Custody Present? Yes ✓ No Samples received within holding time? Yes ✓ No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes No NIA ✓Yes 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 /> Date Client Contacted: <br /> ` Person Contacted: <br /> Contacted by: Subject: <br /> Comments: <br /> Action Taken. <br /> OTHER <br /> Date Client Contacted: Person Contacted: <br /> Comments: <br />