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' I ........ __.-------- <br /> Amon <br /> Ar on Laboratories Sample Receipt Checklist <br /> • Client Name: ioy 7 r,5stfjl(3r�� Date&Time Received: Q7 <br /> Prajecl Name: 41--3 0YE2-7- A-e 4-ItJ 71 ,' Client Project Number: 3 7� <br /> Received By: -rxz A <br /> Matrix: Water Soil / <br /> Sample Carrier: ClientCLaborato edEx 1 UPS <br /> Argon Labs Project Number: -2-02 / <br /> Shipping Container/Cooler in good co/ndition? Samples received in proper containers? Yes 1/ No <br /> NIA Yes ✓ No Samples received intact? Yes ✓ No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> '/No Yes � No <br /> Chain of Custody Present? Yes Yes f No Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes /"No NIA Yes Z No <br /> Chain of Custody matches all sample labels? <br /> Do VOA vials contain zero headspace? <br /> Yes Z No (None submitted)Yes✓/ 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 /> - - - - . _ - . _ � . - -- - - - - . �, _OTHER Date Client Contacted: Person Contacted: <br /> Comments: <br /> i <br />