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Ar on Laboratories Sample Recei t Checklist <br /> Client Name grlDlnd 7—f,rO A 1 IS Date&Time Received 4 —� 1 r J <br /> . n <br /> Protect Name S r �n1 Q Client Protect Number f 5— d 13 <br /> Received By Matrix Water Er", <br /> Soil ❑ Other <br /> Sample Carrier Client r 1❑` Laboratory Tr Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number 1 01 _ <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes Mo ❑ <br /> NIA [B/ Yes DNo ElSamples received within holding time? Yes No ElSamples received under refrigeration? Yes [9r' No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes � No ❑ <br /> Cham of custody present? Yes � No E] VOA vials with preservative? <br /> -- / NIA E] Yes [� No F-]Cham of Custody signed by all parties? Yes LD No ❑ VOA vials preservative type <br /> HCL g�( Na2S203 ❑ Other <br /> Chain of Custody matches all sample labels? 23/,- <br /> ,/ Do VOA vials contain zero headspace? <br /> Yes No ❑ NIA ❑ Yes M/ No ❑ <br /> Samples received in proper containers?Yes [I/ No ❑ Samples recewed intact? Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> v502 <br />