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Amon Laboratories Sample Receipt Checklist <br /> Client Name ATT, 4 < <br /> Date&Time Received 1 1 d G <br /> 1 _ I <br /> Protect Name1��T+ -C11�"'C Client Project Number <br /> Received By Matrix Matrix Water / Soil / <br /> Sample Camer Ghent I Laborato I FedEx / UPS 1 <br /> Argon Labs Protect Number <br /> Shipping Container/Cooler in good condition? Samples received in proper containers? Yes No <br /> NIA Yes No Samples received intact? Yes No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yesy_ No Yes IT No <br /> Cham of Custody Present? Yes No Samples received wrthm holding lime? Yes__ __ No <br /> Chain of Custody signed by ali parties? Do samples contain proper preservative? <br /> Yes No N/A Yes No <br /> I <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes X No (None submitted )Yes-11-1No <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 /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br /> w <br />