Laserfiche WebLink
Argon Laboratories Sample Recei t Checklist <br /> Client Name: ATG Associates, Inc. Date&Time Received: 11/5/2004 16:30 <br /> Project Name: Farmer Property Client Project Number: 54.62596,0001 <br /> Received By: H,C. Matrix: Water 0 Soil ❑ <br /> Sample Carrier: Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: E 11171 <br /> Shiooer Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> NIA Yes No ❑ Sampies received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sampie volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes No Samples received within holding time? Yes 0 No ❑ <br /> Crain of Custody signed by ail parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes Q No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑} Yes 0 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 /> ADDITIONAL TEST{S}REQUEST!OTHER <br /> Contacted By: Date: Time: :Q <br /> Call Received 8y: <br /> Comments: -b r _ <br /> a CLAA�44A AAA <br /> i <br />