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Argon Laboratories Sample Receipt Checklist <br /> Client Name. Time Received: 2 r 105 <br /> Project Name boq 0(bi+eC ,Client Project Number: 3 1 C <br />' Received By:. 7 P _ Matrix: Water Dl Soil ❑ Other <br /> Sample Carrier. Client (Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number, d <br /> -30Z I <br />' Shipper Container in good condition? Sufficient sample volume for requested tests?Yes No ❑ <br /> NIA V Yes ❑ No ❑ Samples received within holding lime? Yes No ❑ <br />' Samples received under refrigeration? Yes Ltd No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes ID/ No ❑ <br /> Chain of custody present? Yes � No ❑ VOA vials with preservative? <br />' NIA ❑ Yes [j� No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ VOA vials preservative type; <br /> HCL l/ Na2S203 Other <br />' . Chain of Custody matches all sample labels? � Do VOA vials contain zero headspace? <br /> Yes Ld/ No ❑ NIA ❑ Yes [V No ❑ <br /> Samples received in proper containers? Yes No ❑ Samples received intact? Yes Ltd' 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 /> 1 Action Taken: <br /> 1 <br /> 1 <br />