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P <br /> � Amon Laboratories Sample Receipt Checklist <br /> • Client Name Date&Time Received �� 1 31 d <br /> Project Name l S Client Project Number <br /> Received By h Matnx 1 Soil 1 <br /> Sample Carverlient Laboratory1 FedEx 1 UPS 1 <br /> Argon Labs Project Number �1 I <br /> Shipping Container/Cooler in good condition? Samples received in proper containers? Yes +✓No <br /> NIA Yes ✓No Samples received intact? Yes ✓No <br /> Samples received under refngeraUonl Sufficient sample volume for requested tests? <br /> Yes—Z o Yes ✓No <br /> Chafn of Custody Present? Yes No Samples received within holding timeo Yes_✓No <br /> Chain of Custody signed by all parhe0 Do samples contain proper preservative? <br /> Yes --"' No NIA Yes ,-/ No <br /> Chain of Custody matches all sample labels? Do VOA mals 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 - � - � ' - Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Action Taken <br /> - OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />