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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Geo-Phase Environmental Date&Time Received: 04/15/13 14:03 t <br /> Project Name: M2 Client Project Number: 670.1 A <br /> Received By: S.H. Matrix: Water El Soil ❑ Sludge ❑ <br /> Sample Carrier: Client 0 Laboratory ❑ Fed Ex ❑ UPS ❑ Other. ❑ <br /> Argon Labs Project Number: N304025 <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 Q No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes M No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspam? <br /> Yes 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 /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br />