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Y � <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: d W Date&Time Received: ` Au 1,4 .' 2 2— <br /> Project Name: C Client P4oject Number <br /> Received By: +moi Matrix: Water L Soil ❑ Other <br /> Sample Carrier: Client ['Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes 0-' No ❑ <br /> N/A Er"', <br /> Yes El No ❑ samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes M No ❑ Do samples contain proper preservative? <br /> N/A YesL' f' No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA Yes }� No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ VOA vials preservative type: <br /> MCL L� Na2S203 ❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ N/A ❑ Yes [et No ❑ <br /> Samples received in proper containers? Yes LAY No ❑ Samples received intact? Yes ice' No [J- <br /> ANY <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 /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> v.5.02 <br />