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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Z�- 1L-97d-L Date&Time Received: O'{ Z j / 03 rr. Y s <br /> Project Name: KAyM 0ftxD NT Client Project Number: <br /> Received By —L. C. Matrix: Water / oil <br /> Sample Carrier: Client <=FedEx / UPS / <br /> Argon Labs Project Number: TSO y S 01 <br /> Shipping Container/Coder in good condition? Samples received in proper containers? Yes �No_ <br /> WA Yes_ No_ Samples received intact? Yes'—No_ <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes No_ <br /> Yes ✓No <br /> Chain of Custody Present? Yes ✓No_ Samples received Wthn holding time? Yes__!!�No_ <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes No_ N/A ✓Yes_ No_ <br /> Chain of Custody matches all sample la Is? Do VOA vials contain zero headepece? <br /> Yes—✓No (None submitted_✓)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 /> OTHER <br /> Date Client Contacted: Person Contacted: <br /> Comments: <br />