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Ar on Laboratories Sample Receipt Checklist <br /> • Client Name: ' �S <br /> � � ate&Time Received-0--s 1 % <br /> Project Name: `� �--� Client Project Number: <br /> Received By: Matrix: WaEe 1 Soil 1 <br /> Sample Carrier: Client Laborato 1 FedEx 1 UPS 1 <br /> Argon Labs Project Number: 0 3 Li�] y <br /> Shipping Container 1 Coder in good conation? Samples received in proper containers? Yes No <br /> N/A Yess No Samples received intact? Yes No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes x No Yes„ No <br /> Chain of Custody Present? Yes 7�_ No Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes :�)O No NIA Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes-�''O No (None submitted)Yes,�g 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 /> Comments <br />