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oil. JAr on Laboratories Sample Receipt checklist <br /> Client Name /4 Date&Time Received 10 1 4 16 Z U <br /> Project Name �R.�V��c�_yti�r.�, Sc-- Client Protect Number _Sy_ 6,z6oS oopt <br /> Received By -R. Matrixater Soil 1 <br /> Sample Carrier Chen Laborato y FedEx 1 UPS <br /> Argon Labs Project Number C O:; _0 1_ <br /> Shipping Container 1 Cooler in good condition? Samples in proper containers? Yes ✓No <br /> Yes ✓ No NIA Samples received intact? Yes ,/ No No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes✓ No Yes ✓ No <br /> Chain of Custody Present? Yes ✓ No Samples received within holding tame? Yes .✓ No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes ✓ No Yes ✓ Na NIA <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ✓ No Yeses No (None submitted_) <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 /> i <br />