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Argon Laboratories Sample Receipt Checklist <br /> • Client Name Date &Time Received o y z y 100- /S UO <br /> Project Name f ?_e ma,. , ,S _-SPr��c Client Project Number <br /> Received By Pv"A Matrix Water Soil 1 <br /> Sample Carrier Client 1 aborato FedEx 1 UPS I <br /> Argon Labs Project Number (off 2,71 <br /> Shipping Container 1 Cooler in good condition? Yes No NIA <br /> Samples received under refngerabon? Yes No <br /> Chain of Custody Present? Yeses No <br /> Chain of Custody signed by all parties? Yes_4 No <br /> Chain of Custody matches all sample labels? Yes. No <br /> Samples received in proper containers? Yes-_ No <br /> Samples received intact? Yes No <br /> Sufficient sample volume for requested tests? Yes_- No <br /> . Samples received within holding time? Yes-,4 No <br /> Do samples contain proper preservative? Yes No NIA <br /> Do VOA vials contain zero headspace? Yes / 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 />