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Amon Laboratories Sample Receipt Checklist <br /> Client Name A-FC A�,ssoc CG4-es <br /> Date&Time Received O`] / Oct1 0 :S <br /> Project Name Dise-f P r c Client Project Number_IS 4 1pa 577 . 00_0 <br /> Received By X rn Matrix ate 1 Sod 1 <br /> Sample Carver Client 1 aborato 1 FedEx 1 UPS ! <br /> Argon labs Project Number DQ-7 a j i <br /> Shippmg Container 1 Cooler in good condition? Samples received in proper containers? Yes No <br /> WA Yes No Samples received intact? Yes No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes z/ No Yes No <br /> Chain of Custody Present? Yes V--- No Samples received within holding time? Yes , No <br /> Chain of Custody signed by all partes? Do samples contain proper preservative? <br /> Yes `� No NIA Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ✓ No (None submitted_)Yes No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTIONBELOW <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Action Taken <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />