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Argon Laboratories Sample Receipt Checklist <br /> Client Name: GZA Date&Time Received: 02/03/11 8:42 <br /> Project Name: freckles Sugar Client Project Number: 848 <br /> Received By: S.H. Matrix: Water ❑ Soil El Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: L102010 <br /> Shipper Container in good condition? - Samples received in proper containers? Yes No ❑ <br /> N/A_ Yes Q . No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes No <br /> Chain of custody present? Yes 0 No . ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> N/A Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes QQ 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 /> I <br /> Action Taken: <br /> ADDITIONAL TESTIS)REQUEST/OTHER <br /> Contacted By: Dale: Time: <br /> Call Received By: <br /> Comments: <br /> r <br /> r <br /> ) <br />