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Ar on Laboratories Sample Receipt Checklist <br /> Client Name ATC. A S SO C t g e S Date&Tme Received la 1 t /0 <br /> Project Name S ( S D Frnnk k vi HE Client Protect Number Sr Q D a <br /> Received 8y Matnk ater Soil 1 <br /> Sample Carver Client 1aborat 1 FedEx 1 UPS 1 <br /> Argon Labs Project Number Lf z Z <br /> Shipping Container 1 Cooler in gooddhon? Samples received in proper containers? Yes ✓ No <br /> NIA Yes No Samples received intact? Yes L7No <br /> Samples received under refngeraton? Sufficient sample volume for requested tests? <br /> Yes No Yes ✓ No <br /> Chain of Custody Present? Yes No Samples recerved wnthin holding time? Yes_ No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes—Z No NIR Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ✓ No (None submitted_)Yes 1/ 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 /> OTHER <br /> — _ _ �_ . . �. . _ � _ _ Own— � _ _ • � . _ �� _ - In.w. _ _ � _ • w� _ _ � y _ � . — wl� . - �� <br /> Date Client Contacted Person Contacted <br /> Comments x <br />