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• 1 <br /> Amon Laboratories Sample Receipt Checklist <br /> Client Name - - f Dale&Time Received !Eilo-1�0(, I I S5 <br /> Project Name C ft Q k-FAcp PAZ�y Chent Project Number 2036 <br /> Received By Ck, Matrix Water �f Soil ❑ Other <br /> Sample Carrier Client ['Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number C'z bU`_7Z�o 1 <br /> Shipper Container in good condition? Suffic,ienl sample volume for requested tesl0 Yes El— No ❑ <br /> NIA ❑ Yes [t}-- No ❑ Samples received within holding time? Yes a-- No ❑ <br /> Samples received under reingeratkon? Yes 0-- No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes E�' No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA ❑) Yes E�4�No ❑ <br /> Cham of Custody signed by all parties? Yes No ❑ VOA vials preservative type <br /> HCL Eq--Na2S:03 ❑ Other <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [}-' No ❑ NIA ❑ Yes No ❑ <br /> Sampkes received in proper containers? 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 /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> v502 <br />