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•., Ar on Laboratories Sample Recei t Checklist <br /> Client Name Geo >J� a �: z, 5 i 5 Date&Time Received ! 1 63 J7�?S <br /> Project Name -- BPr Bh V:T> - Client Protect Number �S <br /> Received By -t,> Matnx atsr Soil 1 <br /> Sample CamerCI en Laborata / FedEx 1 UPS 1 <br /> Argon Labs Protect Number <br /> Shipping Container 1 Cooler in good condition? Samples received in proper containers? Yes No <br /> WA "'--'Yes— No Samples received intact? Yes ✓ No <br /> Samples received under refngerabon? Sufficient sample volume for requested tests? <br /> Yes No Yes L-�Na <br /> Chain of Custody Present? Yes ✓No Samples received within holding Urns? Yes t-�No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes No NIA Yes V/No <br /> Chasn of Custody matches all sample la Is? Do VOA vials contain zero headspace? f <br /> Yes No (None submitted)Yes No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> . . . . . _ . . . — . . � - - - - - - _ . _ . . - - - , - .. � . . _... _ . � . . � - - - <br /> • Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Action Taken <br /> i <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />