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i <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name 7 APDate&Time Received kdlc 1 � <br /> Protect Name Client Project Number <br /> Received By pa Matrix Water Soil ❑ Other <br /> Sample Carrier Client Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes No ❑ <br /> NIA ❑ Yes No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? <br /> NIA E] Yes No ❑ <br /> Chain of custody present? Yes No El VOA vials with preservative? <br /> NIA E] Yes A No E]Cham of Custody signed by all parties? Yes � No ElVOA vials preservative type <br /> HCL Na2S203 ❑ Other <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ NIA ❑ Yes No ❑ <br /> Samples received in proper containers?Yes 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 /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> • <br /> v502 <br />