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4 <br /> Argon Laboratories Sample Receipt Checklist <br /> h <br /> Client Name Date&Time Received <br /> 1 n <br /> Project Name _ (Lr niJ - <br /> T Ckenl Fkolect Number <br /> Received By _ CMatnx Water Lh Soil ❑ Other <br /> Sample Carrier Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number <br /> Shipper Container in good condition? Suff:cien,sample volume for requested tests'?Yes No ❑ <br /> NIA V Yes ❑ No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes R No ❑ Do samples contain proper preservatives / <br /> NIA ❑ Yes No 11Chain of custody present? Yes 2 No ❑ VOA vials with preservative? <br /> N/A E] Yes No 11Chain of Custody signed by all parties? Yes [� No ❑ VOA vials preservati type <br /> HCL Na2S203 ❑ Other <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ N/A ❑ Yes � No <br /> p ❑ <br /> Sam les received in proper containers'?Yes No ❑ Samples received intact? Yes V No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Co-ilacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> i <br /> Call Received By <br /> Comments <br /> • <br /> v502 <br />