Laserfiche WebLink
al <br /> Ar on Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 12/1/2004 1545 <br /> Project Name Customer#37 Client Project Number 54 25847 0037 <br /> Received By D S Matrix Water ❑ Sod ❑ <br /> Sample Carrier Client ❑ Laboratory El Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon labs Project Number E12021 <br /> Shipper Container in good conditions Samples received in proper containers? Yes Q No ❑ <br /> NIA Yes 0 No ❑ Samples received intact Yes Q No ❑ <br /> Samples received under refrigeration? Yes D No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes El No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes 0 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 /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />