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1 <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name + 2� <br /> Date&Time Received �� / -r <br /> Protect Name Qr r Client Protect Number )_5 I <br /> Received I?y Matnx Water LJ Soil ❑ Other <br /> Sample Carner Client ❑ Laboratory F Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Laos Protect Number <br /> ' Shipper Container in good condition? Sufficient sample volume for requested tests?Yes L`'1 N5 ❑ <br /> N/A' d Yes EJNo ❑ <br /> Samples received within holding time? Yes � No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? <br /> No <br /> NIA L7 Yes El/ ❑ <br /> Cham of custody present? Yes No ❑ VOA vials with preservative <br /> Chain of Custody signed by allparties) Yes No VOA Ovals preservative typeNIA Yes Na ❑ <br /> HCL LTJ Na2S2Cj Other <br /> Cham of Custody matches all sample labels? / Do VOA vials contain zero headspace? <br /> Yes 00 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 /> 1 <br /> 1 <br /> Action Taken <br /> 1 <br /> ` ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> v502 <br />