Laserfiche WebLink
Amon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 10/17/2003 1220 <br /> Protect Name Pacific Coast Recreation Client Protect Number 54 16393 0002 <br /> Received By HC Matrix Water Q Soil ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Ped Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number D10371 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refirgeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes 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 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspacel <br /> Yes No ❑ (None submitted ❑} Yes Q No ❑ <br /> ---�-- <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW —_ -- <br /> (� Date Client Contacted Person Conacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />