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Argon Laboratories Sample Receipt Checklist <br /> Client Name dC1+.-C>O1Li� Lp�t E j Date&Time Received <br /> . Project Name P� �iglz� T _ Client Project Number �3$ <br /> Received By Matrix Water Soil ❑ Other <br /> Sample Carrier Client l K Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number L 0Z3 <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes No ❑ <br /> NIA LZ Yes ❑ No ❑ Samples received within holding time? Yes [� No ❑ <br /> Samples received under refrigeration? Yes ED"�' No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes ❑ No <br /> Chain of custody presents Yes 2' No ❑ VOA vials with preservative? <br /> NIA ❑ Yes ❑ No [+� <br /> Chain of Custody signed by all partied Yes Rr" No ❑ VOA vials preservative type <br /> HCL ❑ Na2S203 Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero heads pace? <br /> Yes /[� No ❑ NIA ❑ Yes [� No ❑ <br /> Samples received m 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 /> r- <br /> Comments �a4N1YL+✓S �o`r�7z ���11 w ti L��►�tG 1 �r7i— —L5 �e5, <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br />' Contacted By Date Time <br /> Call Received By <br /> Comments <br /> i <br /> v502 <br /> s <br />