Laserfiche WebLink
Ar-gory Laboratories Sample Receipt Checkiist <br /> ' Client Name ATC Associates Inc Date&Time Receivea 5/13/2005 1140 <br /> Project Name Farther Property Client Project Number 54 62596 0001 <br /> ' Received av E P Matrix Water LJ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> ' Argon Labs Project Numaer F05411 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No I-1 <br /> N/A Yes ❑ No ❑ Samples received intact? Yes Q No [] <br /> ' SamQies received under refrigeration? Yes ❑ No ❑ Sufficient sarrip}e volume for requested tests?Yes ❑ No ❑f <br /> Cham of custody present? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> ' Cham or Cistodv signec by all oarnes? Yes ❑I No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes ❑ No ❑ <br /> ' Cham of Custody matches ail sample labels? Do VOA vials contain zero heads pace? <br /> Yes ❑ No ❑ {None submitted ❑) Yes ❑ No ❑ <br /> ' ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> M [late Client Contacted Person Contacted <br /> Contacted By Subject <br /> ' Comments <br /> ' Action Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> ' <br /> Contacted By-------.__--- ------ Date <br /> -- ----------Time T------ <br /> ' Call Received By <br /> Comments <br /> • <br />