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• <br /> a, Argon Laboratories, Sample iRecei t Checklist <br /> Client Name: ATC A 55 O c z, T e S Date&Time Received: A 3 0 0 5' 1 <br /> Project Name:_ SLk '` L' ''L C 46 Client Project Number: 3Lf <br /> Received By: C Q 5 Z Matrsx: Water E4 Soil E1 Other <br /> Sampte Carrier: Client ❑ Laboratory 2 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: 5 LZ 093 <br /> Shipper Comainer in good condition? Sufficient sample volume for requested tests?Yes No ❑ <br /> N/A ❑ Yes No ❑ Samples received within hciding time? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contaln proper preservative? <br /> NIA [J Yes No F-1Chain of cusrody present? Yes No F-1VOA vials with preservative? <br /> 7YNpae2:S <br /> NIA ❑ Yes � No ❑ <br /> Chain of Custody signed by all parties? Yes L91/ No El VOA vials preser <br /> HCL203 ❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ NIA ❑ Yes No ❑ <br /> Samples received In proper containers? Yes No ❑ Samples received intact? Yes No ❑ 1 <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subjecf: <br /> Comments: <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: gate: Time: <br /> Call Received By: <br /> Comments:_ .,��N! Z �t fS+�T � mer .16430E ll5 <br /> r <br /> v,5.02 <br />