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Argon Laboratories Sample Receipt Checklist <br /> Client Name: ' Pr-Fc A S�-:,o C'P-7,CSS I "i L Date&Time Received; -7 <br /> Z --A� <br /> Project Name: C.A-(�, Client Project Number: S4. • �t <br /> Received 8y: P,q Matrix-. Water E Soii ❑ Other <br /> Sample Carrier: Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Prcjec Number: 30�{ <br /> Shipper Container in good condition? Suffident sample volume for requested tests?Yes 2-- No ❑ <br /> NIA ❑ Yes El" No ❑ Samples received within holding time? Yes D-, No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes D-' No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA ❑ Yes 93"" No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ VOA vials preservative type: <br /> HCL Na2S203 [❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes D-- No ❑ NIA ❑ Yes No ❑ <br /> Samples received in proper containers? Yes L7 No ❑ Samples received intact? Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: D 2 Person Contacted: <br /> Contacted By: CFS Subject: <br /> Comments: aTEx <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> v.5.02 <br />