Laserfiche WebLink
Lrqon Laboratories Sample Receipt Checklist <br /> • Client Name 43t— I Date&Time Received 1 R 1 0 3 f L) h S <br /> Prolecl Name VC�aLC,r Pro Client Project Number C9 2 5'1 Cc -D_Q o <br /> Received By f'Yl Matrix Water 1 Soil 1 <br /> Sample Camer ClientLa rato PedEx ! UPS 1 <br /> Argon Labs Project Number b0 <br /> Snipping Container I Cooier in good'condition? Samples received to proper containers? Yes t/ No <br /> WA Yes—V No Samples received intact? Yes I/ No <br /> Samples received under refngeraon? Sufficient sample volume for requested tests? <br /> I/Yes No Yes No of Custody Present? Yes No Samples received wthin holding time? Yes ✓ No <br /> Chair of Custody signed by all parties" Do samples contain proper preservative) <br /> Yes - No NIA Yes V/ fro <br /> Cnain of Custody matches all sample labels? Do VOA vials contain zero headspace? / <br /> Yes 7 No (None submitted_)Yes �J No <br /> — _ - — ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> _ontactea by Subject <br /> Comments <br /> Acton Taken <br /> OTHER <br /> Cats Cl,enl Contacted <br /> Person Contacted <br /> �ommenl5 <br />