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f ArAon Laboratories Sam le Receipt Checklist <br /> Client Name A Y-00 <br /> Date&Time Received. j <br /> �� Protect Name <br /> Client Project Number <br /> Received By Matrix Water L7 S0111 ❑ Other <br /> Sample Camer Client LDP Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number <br /> Shipper Container in good Condition? Suffident sample volume for requested tests?YesNo ❑ <br /> WA ❑ Yes /1No C3 Samples reoelved within holding nitre? Yes L�" No ❑ <br /> Samples received under refrigeration? Yes L�' No ❑ Do samples oontain MW preservative? _ <br /> / WA C3 Yes LTJ111� No ❑ <br /> Chan of custody present? Yes [� No CJVOA vialswith preservative? <br /> WA ❑ Yes L7 No ❑ <br /> Cham of Custody signed by all paries? Yes No ❑ VOA vials press dve.pe <br /> HCL [ Naz$203 ❑ Other <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspaoe? <br /> Yes (� No ❑ WA ❑ Yes [T' No ❑ <br /> Samples received in proper containers?Yes [� No ❑ Samples received Intact? Yes No ❑ <br /> _ANY°No°RESPONSE BUST BE DETAILED IN THE COMMENTS SECTION BELOtRf - <br /> Date Client Contacted Person Contacted <br /> Contacted By Subject, <br /> Comments <br /> Action Taken <br /> ADDITIONAL TESTS)BEQUEST I OTHER <br /> Contacted By Dato. Tima <br /> Call Received By <br /> Comments <br /> i <br /> v502 <br />