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Argon Laboratories Sample Receipt Checklist <br /> �(, 1 c7 Jam! <br /> Client Name &��_�' 711���L ir1 _ Date&Time Received �!!7� '1 ny <br /> Project Name Project Number c,� <br /> Received By C Matrix Water �K Sod ❑ Other <br /> Sample Carrier Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Laos Project Number Q-1 ��1 <br /> Shipper Container in good condition? Sufficient sample volume for requested tests? Yes No ❑ <br /> NIA ❑ Yes No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br /> Cham of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA ❑ Yes No ❑ <br /> Chain of Cuslody signed by all parties? Yes No ❑ VOA vials preservative type <br /> HCL )k Na2S203 ❑ Other <br /> Cnain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ NIA ❑ Yes No ❑ <br /> Sampies received in proper contamers? Yes No ❑ Samples received intact? 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 />