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- , • AronLaboratories Sample Receipt Checklist <br /> • Client Name �'� Date &Time Received ! 7 °2- /5 z-5 <br /> Protect Name Al 4) °" Client Protect Number ' 5 `I Y �1, vy o <br /> Received By Matrix Water! it ! <br /> Sample Camer Client ! abora o FedEx 1 UPS ! <br /> Argon Labs Protect Number d`)6� rg l <br /> Shipping Container 1 Cooler in good condition? Yes , No NIA <br /> Samples received under refrigeration? Yes No <br /> Chain of Custody Present? Yes / No <br /> Cham of Custody signed by all parties? Yes-Z No <br /> Chain of Custody matches all sample labels? Yes ✓ No <br /> Samples received in proper containers? Yes No <br /> Samples received intact? Yes ✓ No <br /> Sufficient sample volume for requested tests? Yes V No <br /> • Samples received within holding time? Yes ✓ No <br /> Do samples contain proper preservative? Yes-7 No NIA <br /> Do VOA vials contain zero headspace? Yes2 No (None submitted <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted- <br /> Contacted by Subteet <br /> Comments <br /> Action Taken <br />