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Ar on Laboratories Sample Recdpt Checklist <br /> Client Name- &zcUut�, Date&Time Received 3 1lciJ /oz. ro Z5 <br /> Project Name 15L Client Project Number 3 <br /> Received By Matrix at oil I <br /> Sample Carrier (Clie Laboratory 1 FedEx I UPS 1 <br /> Argon Labs Project Number CCS 32,::1A <br /> Shipping Container 1 Cooler in good condition? Yes No N/A.' <br /> Samples received under refngerabon? Yes ✓ No <br /> Cham of Custody Present? Yeses No <br /> Cham of Custody signed by all parties? Yes I'-- No <br /> Cham of Custody matches all sample labels? Yes ✓ No <br /> Samples received in proper containers? Yes 111� No <br /> Samples received intact? Yes ✓No <br /> Sufficient sample volume for requested tests? Yes �No <br /> • Samples received within holding time? Yes '�No <br /> Do samples contain proper preservative? Yes No NIA <br /> Do VOA vials contain zero headspace? Yes '�No (None submitted <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 /> Acton Taken <br />