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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Geo-Phase Environmental Date&Time Received: 08/29/14 11:13 <br /> ' Project Name: Sandhu Client Project Number: 692.2 <br /> Received By: JH Matrix: Water Soil ❑ Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ uPS ❑ Other ❑ <br /> Argon Labs Project Number: P408032 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑' No ❑ <br /> ' N/A_ Yes No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes ❑' No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspam? <br /> Yes ❑ No ❑ (None submitted ❑) Yes 0. 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 /> ' ADDITIONAL TESTIS)REQUEST I OTHER <br /> ---------- ----------- <br /> ' Contacted By: Date: Time: <br /> Call Received By: <br /> ' Comments: <br /> ' r 46 <br />