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Argon Laboratodes,.Sample_Receigt Checklist <br /> Client Name G Date &Time Received _B 13 A y0 <br /> Protect Name SUS t) Arun K i. W S Client Protect Number 5 y 7 <br /> Received By Matnx — ag"oll l <br /> Sample Carrier Client I zQ1 FedEx 1 UPS I <br /> Argon Labs Protect Number <br /> Shipping Container 1 Cooler in good condition? Yes No NIA �— <br /> Samples received under refngeraton? Yes :� No <br /> Chain of Custody Present? Yes ✓ No <br /> Chain of Custody signed by all partes? Yep ✓ No <br /> Chain of Custody matches all sample labels? Yes ✓ No <br /> Samples received in proper containers? Yes ✓ No <br /> Samples received intact? Yes ✓ No <br /> Sufficient sample volume for requested tests? Yes ✓ No <br /> Samples received within holding time? Yes ✓ No <br /> Do samples contain proper preservatve? Yes � No NIA <br /> Do VOA vials contain zero headspace? Yes No (None submitted <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> i <br /> r <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Acton Taken <br />