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Ar on Laboratories Sample Recei t Checklist <br /> Client Name A—r(*- 4e-5 Date&Time Received <br /> ' Project Name <br /> 12�L --.14 6 <br /> Client Project Number � , <br /> Received By f� Matrix Water 12/ Sod ❑ Other <br /> Sample Camer Client ❑ Laboratory Lt/ Fed Ex ❑ UPS [:1 Other ❑ <br /> ' Argon Labs Project Number ri,75J <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes EP No ❑ <br /> ' NIA [� Yes ❑ No ❑ Samples received within holding time? Yes EV No ❑ <br /> Samples received under refrigeration? Yes LP No ❑ Do samples contain proper preservative?' /NIA El EP No ❑ <br /> Chairs of custody present? Yes LVNo ❑ VOA vials with preservative? <br /> 1 N/A ❑ Yes 12/ No El <br /> Cham of Custody signed by all parties? Yes [V No E] VOA vials preservative type <br /> ' HCL Eg/ Na2Sz03 ❑ Other <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes E2/ No ❑ NIA ❑ Yes Q/ No ❑ <br /> Samples received in proper containers?Yes L/ No ❑ Samp#es received intact? Yes Ltd 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 /> 1 <br /> r <br />