Laserfiche WebLink
. . Ar on Laboratories Sample Receipt Checklist <br /> Client Nam ro u V) . . Date&Time Received: t2 2Z I •4� <br /> Protect Name: I \ Client Project Number: <br /> Received By: Matrix: Water LI Soil ❑ Other <br /> Sample Carrier: Client [Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes E�K No ❑ <br /> NIA [� Yes ❑ No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes 10No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes � No ❑ <br /> Chain of custody present? Yes [ No ❑ VOA vials with preservative? <br /> NIA El Yes d No ❑ <br /> Chain of Custody signed by all parties? Yes [ No ElVOA vials preservativ type: <br /> HCL [ Na2S203 ❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ NIA ❑ Yes Q( No ❑ j <br /> Samples received in proper containers?Yes [� No ❑ s <br /> ❑ Samples received intact? Yes No i <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 /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Ccmments <br /> r <br /> v.5.02 <br />