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1 <br /> Argon Laboratories Sample Receipt Checklist <br /> ' C1ien NageW. e Date&Time Received azq k, <br /> Protea Name Cuent Project Number <br /> Received By Matrix Water Soil ❑ Other <br /> Sample Carney Client ❑ Laooratory Fed Ex ❑ UPS ❑ Clher ❑ <br /> ,,rgon Lacs rroieci Number QU_ l <br /> ' Shioper Container in good cmnoitron) Sufficient sample volume for requested tests?Yes No ❑ <br /> N/A ❑ Yes aa No ❑ Samples received within holding time? Yes [ No Eli <br /> ' Samples,ecei�eo under rerrigeraticn? Yes i No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? l <br /> NIA ❑ Yes � No ❑ <br /> ' Cnain of Cusiody sFgned oy all panties? yes ( No ❑ VOA vials preservative type <br /> HCL X Na2S203 ❑ Other <br /> Chain of Custody matches all sample labels? Co VOA vials contain zero headspace7 <br /> Yes No ❑ NIA ❑ Yes No ❑ <br /> ' Samples received in proper containei-0 Yes No ❑ Samples received intact'? Yes \EXI 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 />