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Ar on Laboratories Sample Receipt Checklist <br /> Client Name: C ovic.Or E ci,r iii T t cl, , Data 03 <br /> &Time Received: 121 / 05 is �00 <br /> Project Name: f-Z it M c ti C CG� Client Project Number; 376 <br /> Received By: H s rG C. Matdx: Water Sal 1 <br /> Sample Carrier. Client 1Laborato PedEx 1 UPS 1 <br /> Argon Labs Project Number: -DO335'1 <br /> Shipping Container 1 Cooler in good conation? Samples received in proper containers? Yes �No <br /> WA Yes ✓ No Samples received intact? Yes ✓No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes ✓No Yes v-""No <br /> Chain of Custody Present? Yes V✓ No Samples received within holding time? Yes ✓No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes ✓No NIA Yes ✓ No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes `� No (None submitted_ )Yes ✓ No <br /> 'ANY"No"RESPONSE MUST 8E DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted by: Subject: <br /> Comments: <br /> Action Taken: <br /> OTHER <br /> . . ._... . _ - . _ . . _ . _ ,_. _ _ . - - -- - - -- - - -. . . �,.. . . �. . <br /> Date Cient Contacted; Person Contacted: <br /> Comments: <br /> ti <br />