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Argon Laboratories Sample Receipt Checklist <br /> • <br /> Client Name C za Date&Time Received o p <br /> 1 (a 1 0 <br /> Project Name U"1� 14A-^YA-QA L Project Number q S O 13 <br /> Received By Q�r._ Matnx at _ 1 Soil <br /> Sample Camer Client 1 L a//ra��to FedEx 1 UPS 1 <br /> Argon tabs Project Number 0Z <br /> Shipping Container/Cooler in good cor�dtion? Samples received in proper containers? Yeses No <br /> NIA Yes ✓ No Samples received intact? Yes No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes No Yes No <br /> Chain of Custody Present? Yes-7 No Samples received within holding time? Y68 -7No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? / <br /> Yes Z No NIA Yes ✓ No <br /> Chain of Custody matches all sample labels) Do VOA vials contain zero headspece? <br /> Yes V 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 />