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Amon Laboratories Sam le Recei t Checklist <br /> • Client Name amk - } t�.��C Date&Tlme Received b 1 ©1 1 D <br /> Protect Name qN;q x Client Project Number o <br /> Received 9y - C Matrix Water Soil 1 <br /> Sample CamerClient Laborato / FedEx I UPS 1 <br /> Argon Labs Project Number O 0 f l <br /> Shipping Container 1 Cooler in good condition? Samples received in proper containers? Yes ✓ No <br /> NIA Yes ✓ No Samples received intact? Yes ✓ No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes ✓ No Yes ✓ No <br /> Chain of Custody Present? Yes ✓ No Samples received within holding time? Yes ✓ No <br /> Chain of Custody signed by all partes? Do samples contain proper preservative? <br /> Yes ✓ No NIA Yes V No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ✓ No (None submitted--- J Yes V" 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 /> f <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />