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kgqn Laboratories Sample Recei t Checklist <br /> Client Name: <br /> �. C Date&Mme Received: & 1 D 1 03 /s : Yo <br /> Project Name: _5TeCA�72$ , u/y,4tLCfient Project Number 52 <br /> 7Y. z. <br /> Received By: Z6 Matrix:_�Wa er Soil 1 <br /> Sample Carrier: Client 1 a ora o 1 Fed-x 1 UPS 1 <br /> Argon Labs Project Number. p <br /> Shipping Container 1 Cooler in good condition? Samples received in proper containers? Yeses No <br /> N1A_,K--Yes No Samples received intact? Yes c No <br /> Samples received under n <br /> refrieratio ? <br /> g Sufficient sample volume for requested tests? <br /> Yes No Yeses No <br /> Chain of Custody Present? Yes--X— No Samples received within holding time? Yes_ No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes X No N/A—%4 _Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No (None submItled <br /> v- )Yes No <br /> ANY"bio"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 /> i <br /> Comments: <br /> I <br /> I <br />