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M Argon Laboratories Sample Receipt Checklist <br /> //��� !_ i ech ne� /(f .5 <br /> Client NameCl�� �C�- h Dale& fine Receive <br /> ProleCl Narne ) t 1 L /' `' 1cliee P4Me-lm er ! Tv <br /> Received By _--:L _ _ Matrix Water Sod ❑ Other <br /> Sample Carner Client l�r- Laboratory El Fed Ex ❑ UPS ❑ Other ❑ <br /> Nrgon Laos Project Number F0 617f 7 ' <br /> Snipper Container in good condilion? Sufficient sample volume for requested tests?Yes 19 No ❑ <br /> NIA [` Yes �[� No ❑ Samples received within holding time Yes No ❑ <br /> Samples received uneer refrngeralion? Yes No ❑ Do samples cowain proper preservative? <br /> NIA ❑ Yes � No F]Cnain or custody presenh Yes No ❑ VOA vials with preservative? <br /> N/A ❑ Yes [� No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ VOA vials preservative type <br /> HCL 19Na2S203 ❑ Other <br /> • Cham of Cusloay matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [ No ❑ NIA ❑ Yes [, No ❑ <br /> Samples received in proper containers? Yes No ❑ Samples received rnlact? 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 />