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I <br /> i <br /> I <br /> Amon Laboratories Sample Receipt Checklist <br /> r Client Name: RMC GEOSCIENCE <br /> Date&Time Received: 03101!10 14:45 <br /> Project Name: Shadow Lake Park <br /> Client Project Number: 1 St.Qtr.2010 <br /> Received By: S.H. Matrix: Waterj <br /> ❑ Soii ❑ Sludge ❑ , <br /> Sample Carrier: Client ❑ Laboratory Q Fed Ex ❑ UPS <br /> ❑ Other ❑ <br /> Argon Labs Project Number: K003001 <br /> Shipper Container in good condition? Samples received in proper containers? Yes <br /> ❑ No ❑ <br /> NIA Yes Q No ❑ Samples received intact? <br /> Yes Q Na [] , <br /> Samples received under refrigeration? Yes [] No ❑ Sufficient sample volume for requested tests?Yes [] No <br /> Chain of custody present? Yes ❑ ❑ ❑ <br /> No Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes �. No <br /> ❑ Do samples Contain proper preservative? <br /> NIA ❑ Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted Yes <br /> ❑ Na <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: 4 <br /> Contacted By: Subject: <br /> Comments: i <br /> r <br /> Action Taken: <br /> i <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By: Date:^ <br /> Time: <br /> Call Received By: <br /> - I <br /> Comments: <br />