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Ar on Laboratories Sample Receipt Checklist <br /> Client Name <br /> d `� u � Date&Time Received: 3-5 <br /> Project Name: Cy -, <br /> Client Project Number: <br /> Received By: x.C- Matrix: W er / Soil / <br /> 1 � <br /> Sample Carrier: Client 1 Labor4tory1 FedEx 1 UPS 1 <br /> Argon Labs Project Number: ` 3c) l <br /> Shipping Container 1 Cooler in good condition? Samples received in proper containers? Yes No <br /> ' N/A-I—Yes No Samples received intact? Yes No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes No Yes No <br /> Chain of Custody Present? Yeses,_ No Samples received within holding time? Yeses No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes-7 No NIA YesA No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> ' Yes y 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 <br /> Date Client Contacted: Person Contacted, <br />: r <br /> vvi i u i reiits: <br /> w <br />