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Amon Laboratories Sam le Recei t Checklist <br /> . Client Name Date&Time Received i d ! 0 11 Q <br /> Project Name MvzNlYaaW—o Client Protect Number 444 <br /> Received By <br /> Matrix Wate I Soil 1 <br /> Sample Camer Clie Laborafo 1 1=edl=x 1 UPS 1 <br /> Argon Labs Project Number- <br /> Shipping <br /> umberShipping Container 1 Cooler in good condition? Samples received in proper containers? Yes t/ No <br /> WA Yes ✓ No Samples received intact? Yes ✓ No <br /> Samples received under refngerabon? Sufficient sample volume for requested tests? <br /> Yes ✓ No Yes No <br /> Chain of Custody Present? Yeses No Samples received within holding time? Yes -/ No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes ✓ No NIA Yes ✓ No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ✓ No (Mone submitted____,)Yes ✓ No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Penson Contacted <br /> Contacted by Subject <br /> Comments <br /> Action Taken <br /> i <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br /> i <br />