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Aroon Laboratories Sample Receipt Checklist <br />Client Name: Advanced Chemical Transport <br />Date & Time Received: <br />01113/09 <br />15.30 <br />Project Name: Thule <br />Client Project Number: <br />Tank 3 Waste <br />Received By: I.C. <br />Matrix: <br />Water ❑ Soil ❑ <br />Liquid <br />ID <br />Sample Camer: Client 0 Laboratory <br />❑ <br />Fed Ex <br />❑ UPS ❑ Other ❑ <br />Argon Labs Protect Number: J901014 <br />Shipper Container in good caditim? <br />Sa ndles received in proper containers? <br />Yes <br />❑ <br />No <br />❑ <br />NIA_ Yes <br />Q <br />No <br />❑ <br />Samples received infect? <br />Yes <br />Q <br />No <br />❑ <br />Samples received under refrigeration? Yes <br />❑ <br />No <br />❑ <br />Sufficient sarryle volume for requested tests? <br />Yes <br />❑ <br />No <br />❑ <br />Chain of custody present? Yes <br />❑' <br />No <br />❑ <br />Samples received witt»n hd ft time? <br />Yes <br />No <br />❑ <br />Chan of Custody signed by all parties? Yes <br />Q <br />No <br />❑ <br />Do samples contain proper preservative? <br />N/A 21 <br />Yes <br />❑ <br />No <br />❑ <br />Chan of Custody matches al sample Bels? <br />Do VOA vials ahem aero headspaa? <br />. Yes <br />Q <br />No <br />❑ <br />(Nortesubmined 0) <br />Yes <br />❑ <br />No <br />❑ <br />Date Client Contacted: <br />Contacted By: <br />Taken: <br />Contacted By _ <br />Call Received By: <br />ANY "No" RESPONSE MUST BE DETAILED M THE COMMENTS SECTION BELOW <br />Person Contacted: <br />Subject <br />Date: Time: <br />V A * A <br />