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Amon Laboratories Sample Receipt Checklist <br /> • Cliert Name 4_ G Date&Time Received 1 103 '3 50 <br /> Project Name Jo Z Zcrno _Yrp� Client Project Number y , i y6S <br /> Received By C_ Matrix Water ! Soil 1 <br /> Sample Camer Client 1 aborato 1 FedEx ! UPS 1 <br /> Argon Labs Project Number ��3 Z q f <br /> Shipping Container(Cooler in good condition? Samples received in proper containers? Yes, . No <br /> NIA X Yes No Samples received intact? Yeses[_ No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes No Yes X No <br /> Chain of Custody Present? Yes_ No Samples received within holding time? YesL No <br /> Cham of Custody signed by ail parties? Do samples contain proper preservative? <br /> Yes � No NIA Yes-111— No <br /> Chain of Custody matches all sample labefs? Do VOA vials contain zero headspace? <br /> Yes e�` 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 /> Pct on Taken <br /> --- - - - - - - - - -- _ _ --- _ _ - _ . - -OTHER - - - - - - - � - - - - - --- - _ ..._ _ _ ._ <br /> Date Client Contacted Person Contacted <br /> Co nmenls <br />