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Argon Laboratories Sample Receipt Checklist <br /> Client Name _ _ .55tr�, -e Date&Time Received I <br /> 4— <br /> P,ojecl Name r Client i Number Z 1� <br /> '{ Rece�vea By [� <br /> Matrix Water Soil ❑ Other <br /> Sample Carrier Chert ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> ,argon Labs Protect Number ()o <br /> S i pper Container m good condition) Sufficient sample volume for requested tests? Yes J G No <br /> ' NIA EP/ Yes E] No ❑ Samples received within holding time) Yes No <br /> Samples eceived under refrigeration? Yes t!d No ❑ Do samples contain proper preservative? <br /> NIA [:] Yes [� No ❑ <br /> Cham of custody present? Yes [ No ❑ VOA vials with preservalwev <br /> NIA L] Yes No � <br /> ' Cham of Custody signed by all parties? Yes No ❑ VOA vials preservative pe <br /> HCL preservative <br /> F Other <br /> ' Chain of Custody matches all sample labels? Do VOA vials contain zero headsl <br /> Yes L'J No ❑ N/A ❑ Yes ❑� No <br /> Samples received in proper coniatners7 Yes No ❑ Samples receivedintact? 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 /> 1 <br /> Action Taken <br /> 1 <br /> ' --- -- -- -- ADDITIONAL TEST(S)REQUEST 1OTHER <br /> — ---' �-----� <br /> ' Contacted By Date Time <br /> Call Recetved By <br /> Comments <br /> v502 <br />