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Argon Laboratories Sample Receipt Checklist <br /> Client Name Date &Time Received 1 0 <br /> Project Name K e)y w l t� 1 lj»%fir 14M-Client Protect Number_ y� °�3 <br /> Received By _ Matnx at 1 Sol[1 <br /> Sample Camer aQ 1 Laboratory I�FedEx 1 UPS I <br /> Argon Labs Protect Number C-05 zy <br /> Shipping Container I Cooler in good condibon? Yes No NIA <br /> Samples received under refrigeration? Yes f No <br /> Chain of Custody Present? Yes No <br /> Cham of Custody signed by all parties? Yes No <br /> Cham of Custody matches all sample labels9 Yes '� No <br /> Samples received in proper containers? Yes No <br /> Samples received intact? Yes `� No <br /> Sufficient sample volume for requested tests? Yes No <br /> . Samples received within holding time? Yes '� No <br /> Do samples contain proper preservative? Yes '� No NIA <br /> Do VOA vials contain zero headspace? Yes No (None submitted--j <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> ...... . . .,. . . ..._ . . ...... . . ....,. . . ..... . . . . . . . . . . . _ . . _ . . _ . . _ . . _ . . _ . <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Action Taken <br />