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1 <br /> ' Argon Laboratories Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies Dale&Time Received: 11/18/15 11:40 <br /> Project Name: Public Works Client Project Number: 596005A <br /> Received By: JS Matrix: Water 21 Soil ❑ Sludge ❑ <br /> ' Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: R511021/1511180089 <br /> ' Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA_ Yes ❑� No ❑ Samples received intact? Yes .r❑ No ❑ <br /> Samples received under refrigeration? Yes P1 No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> ' Chain of custody present? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes 21 No ❑ Do samples contain proper preservative? <br /> ' NIA ❑ Yes ❑� No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> ' Yes E] No ❑ (None submitted ❑) Yes Q 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 /> II <br /> ADDITIONAL TEST(S)REQUEST/OTHER <br /> ' ---- ----------- -- -- -- ----- <br /> Contacted By: Date: Time: <br /> ' Call Received By: <br /> Comments: <br /> i <br /> j <br />