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i <br /> Argon Laboratories Sample Receipt Checklist <br /> t Client Name: RMC Geoscience Date&Time Received: 03/06/09 11:27 I <br /> Project Name: Shadow Lake Park Client Project Number: 1st Qtr,2009 <br /> Received By: S.H. Matrix: Water ❑ Soil ❑ Sludge ❑ <br /> Sample Carrier: Client <br /> p ❑ Laboratory El Fed Ex ❑ UPS ❑ Other ❑ , <br /> Argon Labs Project Number: J903008 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> NIA Yes 0 No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes ❑ No ❑ } <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples conta'm proper preservative? <br /> NIA ❑ Yes F No ❑ <br /> Chain of Custody matches ail sample labels? Do VOA vials contain zero headspac0 �l <br /> Yes [Q No ❑ (None submitted r]} Yes ❑ No ❑ <br /> f <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 <br /> omments.Action Taken: <br /> i <br /> I: <br /> l , <br /> ——— — —— ADDITIONAL TEST(S)REQUEST I OTHER <br /> IContacted By: Date: Time: } <br /> I <br /> Call Received By: <br /> I <br /> Comments: <br /> f <br /> 4 <br /> I <br /> 1 <br /> f <br />