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Amon Laboratories Sample Recei t Checklist <br /> lr <br /> Client Name �+ 0 Y �' �h d 0 e&Time Received <br /> Protect Name Q.- C 1 C— / Client Protect Number <br /> Received By Matrix Water l"1 Sod ❑ Other <br /> Sample Carrier Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number 14 <br /> r <br /> Shipper Container in good condition'? Sufficient sample volume for requested tests?Yes � No ❑ <br /> N/A [� Yes ❑ No El Samples received within holding time? Yes V No Cl <br /> Samples received under refrigeration? Yes [0/ No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes � No ElChain of custody present'? Yes Lj� No ❑ VOA vials with preservative? <br /> NIA EJ Yes No ❑ <br /> Crain of Custody signed by all parties? Yes EA No ElVOA vials preservati type <br /> HCL Na2S203 (] Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> YesNo El N/A El Yes No EJ <br /> Samples received in proper containers? Yes � No ❑ Samples received intact? Yes No ❑ <br /> _v 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 /> v5O2 <br />