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Argon Laboratories Sample Receipt Checklist <br /> Client Name: RMC Geoscience Date&Time Received: 12/16/10 12:15 <br /> Project Name: Shadow Lake Park Client Project Number: N/A <br /> Received By: S.H Matrix: Water 0 Soil ❑ Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS [I Other ❑ <br /> Argon Labs Project Number: K012042 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> N/A_ Yes 0 No ❑ Samples received intact? Yes 0 No ❑ <br /> Samples received under refrigeration? Yes E] No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br /> WA ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA Nay contain zero headspace? <br /> Yes 0 No ❑ (None submitted 0) Yes ❑ No ❑ <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 /> Comments: <br /> r J <br />