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r <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: GZA Date&Time Received: 02/03/11 8:42 <br /> Project Name: Spreckles Sugar Client Project Number: 848 <br /> i <br /> Received By: S.H. Matrix: Water ❑ Soil ❑ Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other , ❑- <br /> Argon Labs Project Number: L102011. <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> N/A_ Yes ❑ No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes ❑ No ❑ Samples received within holding time? Yes 0 No ❑ <br /> y <br /> Chain of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? i <br /> N/A 0 Yes ❑ No. ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspam? <br /> Yes ❑ No ❑ (None submitted ❑) Yes ❑ No ❑ <br /> I <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 TESTIS)REQUEST I OTHER <br /> ------ <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: j <br /> l <br /> r <br /> r <br /> i <br />