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Argon Laboratories • <br /> Sample Recei t Checklist <br /> Client Name: �• rt T�5tvG Date&Time Received: 30 <br /> Project Name: ITdGLTA Client Project Number: CD66 1 <br /> Received By: t"C�� Matrix: Water 19""' Soil ❑ Other <br /> Sample Carrier: Client ❑ Laboratory Ig Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: P:1WTI <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes No ❑ <br /> ,t NIA G11"' <br /> Yes ❑ No ❑ Sampies received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? <br /> NIA ❑: Yes No ❑ <br /> Chain of custody present? Yes [ No ❑ VOA vials with preservative? <br /> NIA ❑ Yes [ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ VOA vials preservative ty e: <br /> HCL a2S2O3 ❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [� No ❑ NIA ❑ Yes No ❑ <br /> Sampfes received in proper containers?Yes tld - - No ❑ Samples received intact?---- 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 /> AQQITIONALTEST(S)REQUEST IOTHER �-�—^---"-�— <br /> Contacted Bv: Cate: Time:_ <br /> Call Received By: <br /> Comments: <br /> v.5.02 <br /> I <br />