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Amon Laboratories Sam le Recei t Checklist <br /> Chent Name C h� e Date&Time Received 1 U� 16 , 12— <br /> �ro)eci Name �`J �Q[ G Client$ro)ect Number 641�5 <br /> Received By Matrix Water Soil ❑ Other <br /> Sample Carrier Client f <br /> ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number . 0 91_115J— <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes 19 No ❑ <br /> NIA R( Yes El No ❑ Samples received wahin holding time? Yes ❑ No <br /> Samples recerved under refrigeration? Yes No ❑ Do samples contain proper preservat}vel �. <br /> NIA ❑ Yes L"J No E]Chain of custody present? Yes []� No ❑ VOA vials with preservative <br /> NIA Yes � No ❑ <br /> Chain of Custody signed by all parties? Yes [ No ❑ VOA vials preservative pe <br /> HCL [Na2SzOa ❑ Other <br /> Chain of Custody matches all sampEe labeI0 Do VOA vials contain zero headspace? <br /> Yes No ❑ NIA ❑ Yes (� No ❑ <br /> Samples received in proper containers?Yes No ❑ Samples received intact? Yes LSV No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted By Subject, L d t <br /> _ f <br /> � E <br /> Co ments W e, �J 19-5 <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Co^tatted By Date Time <br /> Call Received By <br /> Comments <br /> X502 <br />