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Amon Laboratories Sample Receipt Checklist <br /> n , <br /> Client Name T� din �� Date&Time Received , <br /> ' <br /> Project Nam �7 <br /> 1 e }�� 't! r Ciientlrolect Number <br /> 1 Received By Matrix Water 1R/ Soil ❑ Other <br /> Sampfe Carrier Client ❑ Laborata ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number <br /> Shipper Container in good condition Sufficient sample volume for requested tests?Yes LLQ' No EJi <br /> N/A Yes ❑ No ❑ Samples received within holding time? Yes 12/ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? <br /> 1 NIA �Yes ED No E]Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA ['� Yes ❑ No ❑ <br /> Chain of Custody signed by ali parties? Yes No ❑ VOA vials preservative type <br /> HCL ❑ Na2S203 ❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes pQ No ❑ N/A V Yes ❑ No ❑ <br /> Samples received m proper containers? Yes No ❑ Samples received intact? Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted ?c 6y(O S Person Contacted :�1-66iNM <br /> Contacted By r Pity L— Subject 1 1P�Z-A W � <br /> Comments 6A9 -1 6 tr V—)F <br /> 11 <br /> Action Taken GJ{�1nPL� LTF�� NG�1.2— <br /> �' ---�_--^_----ADDITIONAL TEST(S)REQUEST lOTHER -------�----- ', <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> v502 <br />