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Argon Laboratories Sample Recei t Checklist <br /> Client Name A I C 45" -&J4,- Date&Time Received 1 1 / 3 0 O <br />' 9!(-M 3 f- 7—sr,Ve s# /00866 <br /> Project Name �G k fen i Client Project Number S`�• Z$K O7 Z 1 <br /> Received By <br /> Matrix ater Soil 1 <br /> Sample Camer Client / bora#o ! FedEx 1 UPS 1 <br /> Argon Labs Project Number PO3,0 <br /> Shipping Container/Cooler in good condition? Samples received i <br /> p n proper containers? Yes No <br /> NIA _Yes No Samples received intact? Yes--,Y— No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes No Yeses No <br /> Cham of Custody Present? Yes No Samples received within holding bme? Yes4— No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br />' Yes—X-- No <br /> NIA Yes Na <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> 7k— <br /> Yes 4— No (None submitted Yeses No <br /> 1 <br /> ANY"No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted - � <br /> Person Contacted <br />' Contacted by Subject <br /> Comments <br /> i <br /> Action Taken <br /> 1 <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />