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Argon Laboratories Sample Receipt Checklist <br /> Client Name: a Date&Time Received:10 3 v I I � <br /> Project Name: ('d er Client Project Number. �o5J�DQ <br /> Received By: I I j�C Ma rix: Water 11 Soil <br /> Soil LEJ Other <br /> Sample Carrier: Client ElLaboratory LTJ/ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes " No ❑ <br /> NIA e Yes ❑ No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? <br /> �/ N/A Yes ❑ No El <br /> Chain of custody present? Yes P( No ❑ VOA vials with preservative? <br /> _,,/ NIA [l� Yes ❑ No E]Chain of Custody signed by all parties? Yes 2 No ❑ VOA vials preservative type: <br /> HCL ❑ N32S203 ❑ Other <br /> 4-Chain of Custody matches all sample labels? Do VOA vials contain zero headspacev <br /> Yes PNo NIA J Yes ❑�/ No ❑ <br /> Samples received in proper containers?Yes Ell' <br /> El No ❑ Samples received intact? Yes No ❑ <br /> _ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> 10 <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: CKzb'a 5a mp 1I <br /> eS rc61 ( V <br /> Comments: /r r2 jc LC. ((Ori <br /> '�!o CO.(. read <br /> -Zr -these sawlylesl. QJ <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUES IOTHER <br /> Contacted By: A Date: Time: <br /> Call&esevedBy: �yvin <br /> Comments: 5) e.J AiF Yeq u c.s fj N:+KAteS were, 'rror <br /> ?t V61 IC cst l -to- r_evor 1- 'jcJs as AJ03-l\J <br /> v.5.0 <br />