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r <br /> Ar on Laboratories Sample Receipt Checklist <br /> r � <br /> • Client Name: Co VJ J' � �U �! LZ 13 3 <br /> Date&Time Received: 1 1 S <br /> Project Name: _ "r p t c4 Client Project Number, -3 �� ! <br /> Received By: Matrix: W 1 Soii <br /> Sample Carrier: Client 1 La cry / FedEx / UPS / <br /> Argon Labs Project Number. C/v V I ! <br /> Shipping Container 1 Cooler in good condition? Samples received in proper containers? Yes No <br /> NIA X Yes No Samples received intact? Yes No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes X No Yes k No <br /> Chain of Custody Present? Yes Na Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes X No NIA Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> rYes,, No (None submitted)Yes No <br /> ANY"No" RESPONSE MUST BE DETAILED IN THE COMMENTS SE=CTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> ' Contacted by: Subject: <br /> Comments: <br /> Action Taken: <br /> 1 <br /> OTHER <br /> Date Client Contacted: Person Contacted: <br /> r <br />