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Amon Laboratories Sample Receipt Checklist <br /> Client Name CZ A _ Date&Time Received 3 / S 1 03 08, /S <br /> Protect Name �� G Cv Client Project Number <br /> Recewed By Matrix ate / Soil 1 <br /> Sample Carrier Client I aborato I FedEx I UPS I <br /> Argon Labs Protect Number 0-3 1 <br /> Shipping Container 1 Cooler m good condition? Samples received in proper containers? Yes A No <br /> NIA _Yes No Samples received intact? Yes _k No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes X No Yes V, No <br /> Chain of Custody Present? Yes X No Samples received within holding time? Yes_ c No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes X No NIA Yeses No <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes k No (None submitted_)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 /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />