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' Amon Laboratories Sam ie Recei t Checklist <br /> Client Name -t- <br /> ❑ate&Time Receivedo� / t <br /> nroci tfa,"'2 <br /> Cllen[•Prolect Number <br /> Received By t�� <br /> Matrix Water Rr Soil ❑ Other <br /> Sampfe Carrier Client ❑ Laboratory ] Fed Ex ❑ i9PS ❑ Other ❑ <br /> Argon Labs Project Number piSS <br /> Shipper Container in good condition? Sufficient sample volume for requested tests Yes _ <br /> NIA Yes No❑ � No F7❑ Samples received within holding time? Yes 1�\ No ❑ <br /> Samples received under refrigeraton? Yes No ❑ Do samples contain proper preservative? <br /> NIA LJ Yes No ❑ <br /> Chain of custody present? Yes No <br /> _-❑_ -- VOA vials withr@servattvev - <br /> VJA � Yes No I� <br /> Chain of Custody signed by all partes? Yes No ❑ VOA vials preservative type <br /> MCL � Na2S203 [1 nther <br /> Chain of Custody matches all sample labels <br /> Do VOA vials contain zero headspace? <br /> Yes No E] 00 <br /> ❑ Yes L;�t_ No ❑ <br /> Samosas received in proper containers? Yes �4 No <br /> ❑ Samples received intact? 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 faKen <br /> AUDITIONAL TEST($)REQUEST!OTHER <br /> 4ontacted By Date <br /> Time <br /> Call Received By <br /> comments <br /> v502 <br />