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Argon Laboratories Sample Receipt Checklist <br /> Client Name: -� � Date&Time Received: ) 71=r 1Lv 1 ](D[Q <br /> Project Name: u—T <br /> Client Project Number: <br /> Received By: Matrix: Water <br /> ❑ Soil ❑ Other <br /> Sample Carrier: Client ] Laboratory ❑ Fed lac ❑ UPS ❑, Other ❑ <br /> Argon Labs Project Number: <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes No ❑ <br /> NIA ❑ Yes ;✓1 No ❑ Samples received within holding time? Yes 21" No ❑ <br /> Samples received under refrigeration? Yes .� No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br /> Chain of custody present? Yes Zf— No ❑ VOA vials with preservative? <br /> NIA L]- Yes [� Na ❑ <br /> Chain of Custody signed by all parties? Yes Ef No F] VOA vials preservative type: <br /> HCL EK'Na2S203 ❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ NIA ❑ Yes ,J� No ❑ <br /> Samples received in proper containers?Yes No ❑ Samples received intact? Yes tQ No ❑ <br /> _ _A ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> I <br /> Action Taken: <br /> f . <br /> ADDITIONAL TEST{S}REQUEST/OTHER <br /> Contacted By: Date: <br /> Time: <br /> Call Received By: ��" <br /> Comments: <br /> r <br /> v.5,02 <br />